| Dynamic Dental Specialists Llc | |
|
583 Wiles Rd Manfield OH 44903 | |
| (419) 610-1620 | |
| (419) 756-4886 |
| Full Name | Dynamic Dental Specialists Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 583 Wiles Rd, Manfield, Ohio |
| Authorized Official Name and Position | Christopher Norman Beale (PRESIDENT) |
| Authorized Official Contact | 4196101620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Dental Specialists Llc 583 Wiles Rd Manfield OH 44903 Ph: (419) 610-1620 | Dynamic Dental Specialists Llc 583 Wiles Rd Manfield OH 44903 Ph: (419) 610-1620 |
| NPI Number | 1194596981 |
|---|---|
| Provider Enumeration Date | 01/11/2024 |
| Last Update Date | 01/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194596981 | NPI | - | NPPES |
| 0250095 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |