Dynamic Dental Services, PLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

DYNAMIC DENTAL SERVICES, PLC

Practice address

3144 John R Rd
Suite 100
Troy, MI 48083

Phone

(248) 740-7030

NPI assigned

Oct 1, 2007

Last updated

Oct 1, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ghabi A Kaspo, DDS

Title

Owner

Phone

(248) 740-7030

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1396932752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3144 JOHN R RD",
            "address_2": "SUITE 100",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48083",
            "telephone_number": "248-740-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3144 JOHN R RD",
            "address_2": "SUITE 100",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48083",
            "telephone_number": "248-740-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC DENTAL SERVICES, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "KASPO",
        "authorized_official_first_name": "GHABI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-740-7030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gjon Dushaj, MD
• Nicholas Thomas Dutcheshen, MD
• Takween Dwaik
• Dyad PLLC
• Samarah Dye
• Dynamic Physio
• Dynamic Rehabilitation (Pure Healthy Back)
• Lauren Dysarz, DPT
• Andrea Eaddy
• Carra Eagen

• Oral and Maxillofacial Surgery (Dentist) in Troy, MI
• Providers in Troy, MI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.