# OPTIMUM DENTAL CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730440587
- **Authorized official:** CATRINA MIDDLETON (BILLER)
- **Authorized official phone:** (718) 671-2826

## Contact information

- **Practice address:** 3370 BAYCHESTER AVE, BRONX, NY 10475-1565
- **Practice address phone:** (718) 671-2826
- **Practice address fax:** (718) 671-2824
- **Mailing address:** 3370 BAYCHESTER AVE, BRONX, NY 10475-1565
- **Mailing address phone:** (718) 671-2826
- **Mailing address fax:** (718) 671-2824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 052905 | NY | — |
| 261QD0000X | Dental Clinic/Center | 055124 | NY | Yes |

## Other

- **Enumeration date:** 06/07/2012
- **Last updated:** 06/07/2012