Dynamic Dental Specialists Llc

LBN: Dynamic Dental Specialists Llc
Dynamic Dental Specialists Llc is an health care organization with primary practice located at 583 Wiles Rd , Manfield OH 44903. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Dynamic Dental Specialists Llc can be contacted via phone (419) 610-1620, or through Beale, Christopher Norman via phone (419) 610-1620.

Contact Information

Primary practice address
583 Wiles Rd Manfield OH 44903
Phone: (419) 610-1620
Fax: (419) 756-4886
Website:
Map and Directions
Authorized official contact:
Name: Beale, Christopher Norman Doctor of Dental Surgery (DDS)
Phone: (419) 610-1620

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1194596981
LBN Legal business name Dynamic Dental Specialists Llc
DBA Doing business as
Authorized official Beale, Christopher Norman Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2024
Last updated Jan 11th, 2024 - about 10 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194596981 NPPES
Ohio MEDICAID 0250095

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