1. Home
  2. Directory
  3. Illinois
  4. Vandalia
  5. Dentist
  6. NPI Profile

DYNAMIC DENTAL GROUP, P.C.
NPI 1811062557
Dentist - General Practice in Vandalia, IL

Active since November 21, 2006
2102 W RANDOLPH ST, VANDALIA, IL 62471(618) 283-4900(618) 283-4963 Get Directions Write a Review

NPPES record last updated: December 14, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dynamic Dental Group, P.c. NPPES

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

DYNAMIC DENTAL GROUP, P.C. (NPI 1811062557) is a healthcare organization registered as a general practice in Vandalia, Illinois and active in the NPI registry since November 2006. The organization lists Bradley K. Dunn, President/owner, as its authorized official.

NPPES Registry Identity

NPI1811062557
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDYNAMIC DENTAL GROUP, P.C.
Location Address2102 W RANDOLPH STVandalia, IL 62471-1973
Mailing Address2102 W Randolph StVandalia, IL 62471-1973 · (618) 283-4900 · Fax (618) 283-4963
Phone(618) 283-4900
Fax(618) 283-4963
Organization SubpartNo
Authorized OfficialBradley K. DunnPresident/owner · (618) 283-4900
Enumeration DateNovember 21, 2006
Last NPPES UpdateDecember 14, 2016
✔ NPI 1811062557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 060003846
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2102 W RANDOLPH ST, Vandalia, IL 62471
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 5

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

CALLIE FLESHREN DMD
Dentist (General Practice)
2102 W RANDOLPH ST
VANDALIA, IL 62471
Fayette County (618) 283-4900
ALIVIA CAO DDS
Dentist
2102 W RANDOLPH ST
VANDALIA, IL 62471
Fayette County (618) 283-4900
DR. MICHAEL KENT FULTON D.D.S.
Dentist (General Practice)
2102 W RANDOLPH ST
VANDALIA, IL 62471
Fayette County (618) 283-4900
2102 RANDOLPH VANDALIA PROFESSIONAL, LLC
Dentist (General Practice)
2102 W RANDOLPH ST
VANDALIA, IL 62471
Fayette County (618) 283-4900
JORDAN WEIS D.M.D.
Dentist
2102 W RANDOLPH ST
VANDALIA, IL 62471
Fayette County (618) 283-4900

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 Group, P.C.'s NPI number?

The NPI number for Dynamic Dental Group, P.C. is 1811062557. It was assigned to this organization in the NPPES registry on November 21, 2006.

Where is Dynamic Dental Group, P.C. located?

Dynamic Dental Group, P.C. is located at 2102 W Randolph St, Vandalia, IL 62471. The listed phone number is (618) 283-4900.

What is Dynamic Dental Group, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Dynamic Dental Group, P.C. accept?

Health plans from UnitedHealthcare list Dynamic Dental Group, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dynamic Dental Group, P.C. was last updated on December 14, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.