Dynamic Dental Services

Primary specialty

DentistTaxonomy code 122300000X

License

04449-1 Issued in NY

Legal business name

DYNAMIC DENTAL SERVICES

Practice address

2121 6TH Ave
Troy, NY 12180-2849

Phone

(518) 274-6741

Fax

(518) 274-6748

NPI assigned

Jun 27, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brenda Yvonne Porter, DDSNPI 1689705311

Title

President

Phone

(518) 274-6741

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brenda Yvonne Porter, DDS

  • Dentist
  • Troy, NY
  • NPI 1689705311
  NPD (past) Authorized official
• Stefani Berry, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Williamsville, NY
  • NPI 1699158923
  NPD (past)
• Lloyd Barry Schwartz, DMD

  • Dentist
  • Troy, NY
  • NPI 1336351923
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1104112267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 6TH AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802849",
            "telephone_number": "518-274-6741",
            "fax_number": "518-274-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 6TH AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802849",
            "telephone_number": "518-274-6741",
            "fax_number": "518-274-6748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC DENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-274-6741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "04449-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01568836",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Chura Durivage, RPA-C
• Garry Durosier, MD
• Staci M Dury, LMSW
• Karen Marie Ray Dwyer, SLP
• Peggy Dwyer, NP ADULT HEALTH
• Amy Louise Earshen, MD
• East Hudson Oral and Maxillofacial Surgery, PLLC
• Erin Easter, LPN
• Jeidga Cherie Ebanks, LPN
• Erik D Ebbing, OD

• Dentist in Troy, NY
• Providers in Troy, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.