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 |