Dynamic Dental P.c.
Dentist, General Practice in Mansfield, Massachusetts
1134367584- Practice location
- 200 Chauncy St, Suite 210, Mansfield, MA 02048-1200
- Phone
- 508-261-9261
- Fax
- 508-261-9261
- Last updated
- January 22, 2009
Dynamic Dental P.c. is a healthcare organization based in Mansfield, MA. Dynamic Dental P.c. practices in Mansfield, MA. The NPI Number for Dynamic Dental P.c. is 1134367584 and holds a License No. 20471 (MA). The current practice location address for Dynamic Dental P.c. is 200 Chauncy St, Suite 210, Mansfield, MA 02048-1200 and can be reached out via phone at 508-261-9261 and via fax at 508-261-9261.
Provider Profile Details
- NPI Number
- 1134367584
- Provider Name
- Dynamic Dental P.c.
- Provider Entity Type
- Organization
- Address
- 200 Chauncy St, Suite 210, Mansfield, MA 02048-1200
- Phone Number
- 508-261-9261
- Fax Number
- 508-261-9261
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Edita Outericka · President · 508-261-9261
- Provider Enumeration Date
- January 22, 2009
- Last Update Date
- January 22, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 Chauncy St
Suite 210
Mansfield, MA 02048-1200 - City
- Mansfield
- State
- Massachusetts
- Zip
- 02048-1200
- Phone Number
- 508-261-9261
- Fax Number
- 508-261-9261
Provider Business Mailing Address Details
- Address
- 200 Chauncy St
Suite 210
Mansfield, MA 02048-1200 - City
- Mansfield
- State
- MA
- Zip
- 02048-1200
- Phone Number
- 508-261-9261
- Fax Number
- 508-261-9261
License Information
- License Number
- 20471
- License State
- MA
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dynamic Dental P.c.?
The NPI number of Dynamic Dental P.c. is 1134367584. It was assigned on January 22, 2009 and is currently active in the NPPES registry.
What is the specialty of Dynamic Dental P.c.?
Dynamic Dental P.c. is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 20471.
Where does Dynamic Dental P.c. practice?
The practice location is 200 Chauncy St, Suite 210, Mansfield, MA 02048-1200. The office can be reached at 508-261-9261 (phone) or 508-261-9261 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134367584 directly on the NPPES registry website.