# DYNAMIC DENTAL SPECIALISTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dynamic Dental Specialists, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760003891
- **Authorized official:** CHRISTOPHER BEALE DDS (PRESIDENT)
- **Authorized official phone:** (248) 346-4809

## Contact information

- **Practice address:** 630 LEXINGTON AVE, MANSFIELD, OH 44907-1500
- **Practice address phone:** (419) 756-0711
- **Mailing address:** 1535 PINE GROVE CT, MANSFIELD, OH 44906-3519

## 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:** 04/29/2020
- **Last updated:** 04/29/2020