Provider Demographics
NPI:1457715328
Name:DYNASPLINT SYSTEMS INC
Entity Type:Organization
Organization Name:DYNASPLINT SYSTEMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
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:21146-4149
Mailing Address - Country:US
Mailing Address - Phone:800-638-6771
Mailing Address - Fax:800-380-3784
Practice Address - Street 1:3259 AL HIGHWAY 157
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35058-6003
Practice Address - Country:US
Practice Address - Phone:800-638-6771
Practice Address - Fax:800-380-3784
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DYNASPLINT SYSTEMS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-04-07
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