Dynamic Dental Services

LBN: Dynamic Dental Services
Dynamic Dental Services is an health care organization with primary practice located at 2121 6Th Ave , Troy NY 12180-2849. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Dynamic Dental Services can be contacted via phone (518) 274-6741, or through Porter, Brenda Yvonne via phone (518) 274-6741.

Contact Information

Primary practice address
2121 6Th Ave Troy NY 12180-2849
Phone: (518) 274-6741
Fax: (518) 274-6748
Website:
Map and Directions
Authorized official contact:
Name: Porter, Brenda Yvonne Doctor of Dental Surgery (DDS)
Phone: (518) 274-6741

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 04449-1 New York

Profile Details

NPI number 1104112267
LBN Legal business name Dynamic Dental Services
DBA Doing business as
Authorized official Porter, Brenda Yvonne Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2011
Last updated Jun 27th, 2011 - about 15 years 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 1104112267 NPPES
New York MEDICAID 01568836

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