Active NPI
Dynamic Dental LLC.
- Dentist
- Scottsdale, AZ
National Provider Identifier
1104374917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- DYNAMIC DENTAL LLC.
- Practice address
- 7170 E McDonald Dr Ste 12
Scottsdale, AZ 85253-5424 - Phone
- (480) 646-6004
- NPI assigned
- Sep 21, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Marc A Resasco
- Title
- Owner
- Phone
- (480) 646-6004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
7170 E McDonald Dr Ste 12
Scottsdale, AZ 85253-5424
Mailing address
60 Lorraine CT.
Holbrook, NY 11741
National Provider Directory
National Provider DirectoryLocations
7170 E McDonald Dr
Ste 12
Scottsdale, AZ 85253
Phone (480) 945-4700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1474588800000",
"number": "1104374917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 LORRAINE CT.",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "11741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7170 E MCDONALD DR STE 12",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852535424",
"telephone_number": "480-646-6004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DYNAMIC DENTAL LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-21",
"last_updated": "2016-09-23",
"status": "A",
"authorized_official_last_name": "RESASCO",
"authorized_official_first_name": "MARC",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-646-6004",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.