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DYNAMIC DENTAL SPECIALISTS, LLC
NPI 1760003891
Dentist - Oral and Maxillofacial Surgery in Mansfield, OH

Active since April 29, 2020
630 LEXINGTON AVE, MANSFIELD, OH 44907(419) 756-0711 Get Directions Write a Review

NPPES record last updated: April 29, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dynamic Dental Specialists, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DYNAMIC DENTAL SPECIALISTS, LLC (NPI 1760003891) is a healthcare organization registered as an oral and maxillofacial surgery in Mansfield, Ohio and active in the NPI registry since April 2020. The organization lists Christopher Beale, President, as its authorized official.

NPPES Registry Identity

NPI1760003891
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameDYNAMIC DENTAL SPECIALISTS, LLC
Location Address630 LEXINGTON AVEMansfield, OH 44907-1500
Mailing Address1535 Pine Grove CtMansfield, OH 44906-3519
Phone(419) 756-0711
Organization SubpartNo
Authorized OfficialChristopher BealePresident · (248) 346-4809
Enumeration DateApril 29, 2020
NPPES CertifiedApril 29, 2020
✔ NPI 1760003891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
630 LEXINGTON AVE, Mansfield, OH 44907
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Other Names 1

Other NameDynamic Dental Specialists, Llc

Other Identifiers 1

Medicaid0250095OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SIERRA SPRINGER DPT
Physical Therapist
630 LEXINGTON AVE
MANSFIELD, OH 44907
Richland County (740) 392-8811
RYAN M RUNDLE PT, DPT
Physical Therapist
630 LEXINGTON AVE
MANSFIELD, OH 44907
Richland County (419) 756-0616
DR. MICHAEL ROBERT LEECH DDS
Dentist (General Practice)
630 LEXINGTON AVE
MANSFIELD, OH 44907
Richland County (419) 756-1110
MID OHIO INFECTIOUS DISEASES CLINIC LLC
Clinic/Center (Medical Specialty)
630 LEXINGTON AVE
MANSFIELD, OH 44907
Richland County (412) 708-1608
CLAIRE MELLEMA DPT
Physical Therapist
630 LEXINGTON AVE
MANSFIELD, OH 44907
Richland County (419) 515-3837
JESSICA GOODEN DPT
Physical Therapist
630 LEXINGTON AVE
MANSFIELD, OH 44907
Richland County (419) 756-0616
MICHAEL R LEECH DDS AND ASSOCIATES, INC
Dentist (General Practice)
630 LEXINGTON AVE
MANSFIELD, OH 44907
Richland County (419) 756-1110
BRUCE A. MARTIN, M.D., L.L.C.
Internal Medicine
630 LEXINGTON AVE
MANSFIELD, OH 44907
Richland County (419) 631-4635

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dynamic Dental Specialists, LLC's NPI number?

The NPI number for Dynamic Dental Specialists, LLC is 1760003891. It was assigned to this organization in the NPPES registry on April 29, 2020.

Where is Dynamic Dental Specialists, LLC located?

Dynamic Dental Specialists, LLC is located at 630 Lexington Ave, Mansfield, OH 44907. The listed phone number is (419) 756-0711.

What is Dynamic Dental Specialists, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Dynamic Dental Specialists, LLC was last updated on April 29, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.