Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Crystal Ly, DMD

Individual provider Dentist · NPI 1134039597

Crystal Ly, DMD is a Dentist in Nogales, Arizona. Licensed in Arizona. Registered with an NPI since 2026.

Licensed in
AZ
In the registry since
2026
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1852 N Mastick Way
Nogales, AZ 85621
Phone: (520) 375-5032
Fax: (520) 377-9430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D012940 (AZ)

Record details

NPI number1134039597
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedSeptember 9, 2026
Last updated in NPPESSeptember 9, 2026
Certification dateSeptember 9, 2026

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