| Crystal Martin Dds Llc | |
|
277 Clarkson Rd Ste 100 Ellisville MO 63011-2280 | |
| (636) 227-0507 | |
| (636) 591-0032 |
| Full Name | Crystal Martin Dds Llc |
|---|---|
| Speciality | Dentist |
| Location | 277 Clarkson Rd Ste 100, Ellisville, Missouri |
| Authorized Official Name and Position | Crystal L Martin (DENTIST/OWNER) |
| Authorized Official Contact | 6362270507 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Martin Dds Llc 331 Portico Ct Chesterfield MO 63017-2536 Ph: (314) 488-9073 | Crystal Martin Dds Llc 277 Clarkson Rd Ste 100 Ellisville MO 63011-2280 Ph: (636) 227-0507 |
| NPI Number | 1609455633 |
|---|---|
| Provider Enumeration Date | 04/06/2021 |
| Last Update Date | 06/03/2021 |
| Medicare PECOS PAC ID | 4981013224 |
|---|---|
| Medicare Enrollment ID | O20210517002240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609455633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Zieba Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 428 Old State Rd., Ellisville, MO 63021 Phone: 636-391-6030 Fax: 636-527-8386 | |
E. Glenn Glassman, D.d.s. Pc Dba Orthocare Systems Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15925 Manchester Rd, Ellisville, MO 63011 Phone: 636-394-3660 Fax: 636-394-3519 | |
Ries Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Ozark Trail Dr, Suite 100, Ellisville, MO 63011 Phone: 636-230-6100 | |
Premier Dental Partners Ellisville Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Hutchinson Rd, Ellisville, MO 63011 Phone: 636-391-0122 Fax: 636-391-0185 | |
Michael S Cherre Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 355 Ozark Trail Dr, Ste 3, Ellisville, MO 63011 Phone: 636-391-9170 Fax: 636-227-7350 | |
Andrew G. Mitchell, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15991 Manchester Rd, Ellisville, MO 63011 Phone: 636-227-6945 |