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Crystal Martinez, RDA

Dental Assistant in Plano, TX. Individual provider (NPI-1).

NPI number1699199836
StatusActive
Last updated in NPPESFeb 7, 2014

Details

NPI
1699199836
Entity type
Individual (NPI-1)
Name
Crystal Martinez
Credential
RDA
Sex
Female
Sole proprietor
No
Enumeration date
Feb 7, 2014
Last updated
Feb 7, 2014

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
126800000X Dental Assistant38099TXYes

Practice location

4865 Hedgcoxe Rd
Plano, TX 75024-2406

Phone 972-505-2210 · Fax 972-505-2212

Mailing address

4865 Hedgcoxe Rd
Plano, TX 75024-2406

Phone 972-505-2210 · Fax 972-505-2212

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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