Dynamic Dental Care

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2901017342 Issued in MI

Legal business name

DYNAMIC DENTAL CARE

Practice address

111 Sawyer St
Grand Blanc, MI 48439-1342

Phone

(810) 694-7220

Fax

(810) 694-7234

NPI assigned

May 14, 2008

Organization subpart

No

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

Authorized official

Name

Nahal Mazhari, D.D.S.

Title

Owner

Phone

(810) 694-7220

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1861669202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SAWYER ST",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391342",
            "telephone_number": "810-694-7220",
            "fax_number": "810-694-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SAWYER ST",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391342",
            "telephone_number": "810-694-7220",
            "fax_number": "810-694-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "MAZHARI",
        "authorized_official_first_name": "NAHAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-694-7220",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "2901017342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talia Dunn
• Susan M Dupont
• Joshua Michael Duren, DO
• Vuong Duthinh, M.D.
• Mark Edward Dyball, D.O.
• E J Daros DO PC
• Bryan Ronald Eadie, DO
• Ear Nose Throat and Plastic Surgery Associates PC
• Baburam Earampamoorthy, M.D.
• Cortney Grace Eason, MS OTR

• Dental Clinic/Center in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.