Dynamic Dental Systems Inc

Primary specialty

DentistTaxonomy code 122300000X

License

041791 Issued in NY

Legal business name

DYNAMIC DENTAL SYSTEMS INC

Practice address

2210 Guilderland Ave
Schenectady, NY 12306-4405

Phone

(518) 866-0438

Fax

(518) 344-5375

NPI assigned

Oct 28, 2010

Last updated

Oct 28, 2010By 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

Mr. Gary Spadaro Spadaro, BA

Title

Ceo

Phone

(518) 688-0438

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1699075267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 GUILDERLAND AVE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123064405",
            "telephone_number": "518-866-0438",
            "fax_number": "518-344-5375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 GUILDERLAND AVE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123064405",
            "telephone_number": "518-866-0438",
            "fax_number": "518-344-5375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC DENTAL SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "SPADARO",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "SPADARO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "518-688-0438",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "041791",
            "primary": true
        },
        {
            "code": "126900000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Durham, DVM
• Michelle Anne Durling, RN
• Jennifer E Durocher, PA
• Earl Dworkin, PH.D.
• Paul Dworkin, M.D.
• Kevin Eames
• Easily and Quick (Easily and Quick Transporation)
• Melanie Lynn Ebbing, REGISTERED NURSE
• Alysa Christine Ebenhoch, MSED, CCC-SLP
• Eckerd Corporation (Rite Aid Pharmacy)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.