Dynamic Dentistry LLC
Dentist, General Practice in Bluffton, SC. Organization (NPI-2).
NPI number1053663211
StatusActive
Last updated in NPPESOct 11, 2012
Details
- NPI
- 1053663211
- Entity type
- Organization (NPI-2)
- Legal business name
- Dynamic Dentistry LLC
- Organization subpart
- No
- Enumeration date
- Oct 11, 2012
- Last updated
- Oct 11, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
12-B Arley WaySuite 104
Bluffton, SC 29910
Phone 843-592-3060
Mailing address
12-B Arley WaySuite 104
Bluffton, SC 29910
Phone 843-592-3060
Authorized official
Christopher Thomas Reynolds
Dentist/Owner/Member
8435923060
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