Provider Demographics
NPI:1336633544
Name:DYNASPLINT SYSTEMS INC.
Entity Type:Organization
Organization Name:DYNASPLINT SYSTEMS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:R
Authorized Official - Last Name:HEPBURN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:800-638-6771
Mailing Address - Street 1:770 RITCHIE HWY
Mailing Address - Street 2:SUITE W21
Mailing Address - City:SEVERNA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:21146-4152
Mailing Address - Country:US
Mailing Address - Phone:800-638-6771
Mailing Address - Fax:800-380-3784
Practice Address - Street 1:221 W 2ND STREET
Practice Address - Street 2:SUITE 618
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72201-2587
Practice Address - Country:US
Practice Address - Phone:800-638-6771
Practice Address - Fax:800-380-3784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-20
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1121034332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies