# DYNAMIC DENTAL SPECIALISTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194596981
- **Authorized official:** CHRISTOPHER NORMAN BEALE DDS (PRESIDENT)
- **Authorized official phone:** (419) 610-1620

## Contact information

- **Practice address:** 583 WILES RD, MANFIELD, OH 44903
- **Practice address phone:** (419) 610-1620
- **Practice address fax:** (419) 756-4886
- **Mailing address:** 583 WILES RD, MANFIELD, OH 44903
- **Mailing address phone:** (419) 610-1620
- **Mailing address fax:** (419) 756-4886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 01/11/2024
- **Last updated:** 01/11/2024