DYNAMIC DENTISTRY LLC (NPI# 1740554518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740554518 |
| Entity Type | Organization |
| Organization Name | DYNAMIC DENTISTRY LLC |
| Practice Address |
24 Liberty Ln Mcminnville TN 37110-3362 |
| Mailing Address |
Po Box 191 Mcminnville TN 37111-0191 |
| Practice Telephone | 9314741329 |
| Practice Fax Number | 9314741330 |
| Mailing Telephone | 9314741329 |
| Mailing Fax Number | 9314741330 |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2012-05-23 |
| Authorized Official Name | DR. JOHN AMBURGEY III (PRESIDENT) |
| Authorized Official Telephone | 9314741329 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053663211 | Dynamic Dentistry LLC | Dentist | 12-b Arley Way, Suite 104, Bluffton, SC 29910 | 2012-10-11 |
| 1306148127 | Dynamic Dentistry LLC | Dentist | 17515 Jamaica Ave, Jamaica, NY 11432-5525 | 2010-11-30 |
| Street Address |
24 LIBERTY LN |
| City | MCMINNVILLE |
| State | TN |
| Zip Code | 37110-3362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427456029 | John Wesley Amburgey IIi | Dentist | 24 Liberty Ln, Mcminnville, TN 37110-3362 | 2014-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223984 | Ramila, LLC | Pharmacy | 2652, Old Nashville Hwy, Mcminnville, TN 37110 | 2020-10-22 |
| 1598319055 | Ashley Nicole Hobbs | Registered Nurse | 1401 Sparta Street, Mcminnville, TN 37110 | 2019-08-01 |
| 1033476734 | Samantha Brooke Johnson | Occupational Therapy Assistant | 928 Old Smithville Road, Mcminnville, TENNESSEE 37110 | 2012-04-18 |
| 1245500800 | Jennifer Ann Strunk | Social Worker | 306 N. Chancery Street, Mcminnville, TN 37110 | 2012-01-12 |
| 1477858322 | Nancy M Walker | Pharmacist | 912 N Chancery Street, Mcminnville, TN 37110 | 2011-01-24 |
| 1811225568 | Mcminnville Boarding Home for The Elderly | Assisted Living Facility | 345 Garfield St., Mcminnville, TN 37110 | 2009-11-18 |
| 1750571246 | Jeremy Lee Sanders | Pharmacist | 1100 New Smithville Hwy Suite 114, Mcminnville, TN 37110 | 2007-07-31 |
| 1144383522 | Britt Allan King | Occupational Therapist | 128 Old Smithville Hwy, Mcminnville, TN 37110 | 2006-12-18 |
| 1952478992 | Jeanne Kay Ball | Physical Therapy Assistant | Nhc Mcminneville, 928 Old Smithville Rd, Mcminnville, TN 37110 | 2006-11-28 |
| 1760559702 | Amy Cheryl Fox | Occupational Therapy Assistant | Nhc Mcminnville 928 Old Smithville Rd, Mcminnville, TN 37110 | 2006-11-28 |
| Find all providers in zip 37110 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679843064 | Paradise Smiles, PC | Clinic/Center | 641 N Highway 99w, Mcminnville, OR 97128-2708 | 2012-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557380 | Ironwood Dental | Clinic/Center | 2550 Madison St, Clarksville, TN 37043-3704 | 2020-10-29 |
| 1942828124 | Adkins Family Dentistry, Pllc | Clinic/Center | 600 Tusculum Blvd Ste 1, Greeneville, TN 37745-3954 | 2020-07-14 |
| 1720605520 | Nancy Laden, D.m.d., P.l.l.c. | Clinic/Center | 105 Se Parkway Ste 101, Franklin, TN 37064-3932 | 2020-06-29 |
| 1922627413 | Colonial Dental, Plc | Clinic/Center | 560 Colonial Rd Ste 100, Memphis, TN 38117-4033 | 2020-04-14 |
| 1841823234 | Randall Restorative Solutions, Pllc | Clinic/Center | 1373 Bridgeview Dr, Chattanooga, TN 37415-1468 | 2020-02-13 |
| 1841822301 | Treasure Island Pediatric Dentistry | Clinic/Center | 1900 Medical Center Parkway, 110, Murfreesboro, TN 37129 | 2020-02-12 |
| 1437780905 | Knoxville Dentistry Group Pllc | Clinic/Center | 1119 Kingston Pike, Knoxville, TN 37934 | 2020-02-03 |
| 1073155511 | Captains Way Dentistry | Clinic/Center | 3001 Knoxville Center Dr Ste 1100, Knoxville, TN 37924-5076 | 2019-10-16 |
| 1053961227 | Memphis Dentures and Implants Pllc | Clinic/Center | 8950 Us-64, Suite 108, Lakeland, TN 38002-4566 | 2019-09-18 |
| 1497307730 | Robert C Wilhite Jr Dds Pllc | Clinic/Center | 1300 Hatcher Ln Ste 1, Columbia, TN 38401-3554 | 2019-07-16 |
| Find all providers with the same taxonomy | ||||
| City | MCMINNVILLE |
| Zip Code | 37110 |
Please comment or provide details below to improve the information on DYNAMIC DENTISTRY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.