C&M Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

C&M DENTAL PLLC

Doing business as

Crystal Dental Care

Practice address

5640 W Broadway Ave
Crystal, MN 55428-3556

Phone

(763) 537-3655

NPI assigned

Apr 22, 2025

Last updated

Apr 22, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mario Alberto Olguin Medina, DDSNPI 1932830965

Title

Dentist

Phone

(763) 537-3655

Specialties & licenses 1

Addresses

Other names 1

• Crystal Dental Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mario Alberto Olguin Medina, DDS

  • Dentist
  • Buffalo, MN
  • NPI 1932830965
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1689461840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 W BROADWAY AVE",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554283556",
            "telephone_number": "763-537-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 W BROADWAY AVE",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554283556",
            "telephone_number": "763-537-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C&M DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "OLGUIN MEDINA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "763-537-3655",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crystal Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Elisabeth Bruehl, OD
• Sara Lynn Budhoo, PA-C
• Sean Burns
• Jennifer Anne Burton, PHARMD
• C & H Services MN L.L.C.
• Kevan Troy Cahow, DDS
• Tiffany Calfee, DPT
• Cana Center for Africans New to America (Cana)
• Cana-Center for Africans Now in America, Inc. (CANA-Health Care Services)
• Carepoint Dental Crystal

• Dental Clinic/Center in Crystal, MN
• Providers in Crystal, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.