Individual provider · Type 1 NPI

Crystal Ly, DMD

Dentist · Nogales, AZ

NPI number 1134039597 Active

Practice location

1852 N. Mastick Way
Nogales, AZ 85621

Fax (520) 377-9430

Mailing address

825 N Grand Ave, Suite 100
Nogales, AZ 85621

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XD012940 (AZ)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

Another provider at this address

Other dentist providers in Nogales

See all in Nogales →

About NPI 1134039597

Crystal Ly, DMD's National Provider Identifier is 1134039597, issued on Sep 9, 2026. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Nogales, AZ. The record was last updated on Sep 9, 2026.