| Dynamic Dental | |
|
292 Chauncy St # 150 Mansfield MA 02048-1203 | |
| (781) 647-0772 | |
| Not Available |
| Full Name | Dynamic Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 292 Chauncy St # 150, Mansfield, Massachusetts |
| Authorized Official Name and Position | Michael Angelo Scialabba (CHIEF CLINICAL OFFICER) |
| Authorized Official Contact | 5615122709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Dental 200 5th Ave Fl 3 Waltham MA 02451-8759 Ph: (781) 647-0772 | Dynamic Dental 292 Chauncy St # 150 Mansfield MA 02048-1203 Ph: (781) 647-0772 |
| NPI Number | 1134693955 |
|---|---|
| Provider Enumeration Date | 01/15/2019 |
| Last Update Date | 06/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134693955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Advanced Mansfield Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 34 N Main St, Mansfield, MA 02048 Phone: 781-326-0026 Fax: 508-909-0503 | |
Dynamic Dental P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Chauncy St, Suite 210, Mansfield, MA 02048 Phone: 508-261-9261 Fax: 508-261-9261 | |
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