DYNAMIC DENTAL P.C. NPI 1134367584

NPI Information

  • NPI: 1134367584
  • Provider Name: DYNAMIC DENTAL P.C.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 200 CHAUNCY ST
    SUITE 210
    MANSFIELD, MA
    ZIP 02048
  • Phone: (508) 261-9261

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NPI Details

DYNAMIC DENTAL P.C. is a general practice dentist in Mansfield, MA. The provider is 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. DYNAMIC DENTAL P.C. NPI is 1134367584. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

200 CHAUNCY ST
SUITE 210
MANSFIELD, MA
ZIP 02048-200
Phone: (508) 261-9261
Fax: (508) 261-9261

The provider's authorized official is Edita Outericka .
The authorized official title is President and has the following contact phone number (508) 261-9261.

The enumeration date for this NPI number is 1/22/2009 and was last updated on 1/22/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice20471MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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