Healthcare Provider Details

I. General information

NPI: 1669385993
Provider Name (Legal Business Name): DYNAMIC MANAGEMENT SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 PORTER ST
BIDDEFORD ME
04005-3509
US

IV. Provider business mailing address

8 PORTER ST
BIDDEFORD ME
04005-3509
US

V. Phone/Fax

Practice location:
  • Phone: 571-274-8570
  • Fax:
Mailing address:
  • Phone: 571-274-8570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name: MR. JOAO NADA LONGO
Title or Position: OPERATIONS MANAGER
Credential: BUSINESS MANAGEMENT
Phone: 571-274-8570