OPTIMUM DENTAL CARE CSP NPI 1285878587

NPI Information

NPI: 1285878587
Provider Name: OPTIMUM DENTAL CARE, CSP
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
107 AVE ORTEGON STE 202
CAPARRA GALLERY BUILDING
GUAYNABO, PR
ZIP 00966
Phone: (787) 783-6698
Get Directions

OPTIMUM DENTAL CARE, CSP is a pediatric dentistry dentist in Guaynabo, PR. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. OPTIMUM DENTAL CARE, CSP NPI is 1285878587. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

107 AVE ORTEGON STE 202
CAPARRA GALLERY BUILDING
GUAYNABO, PR
ZIP 00966-517
Phone: (787) 783-6698
Fax: (787) 793-3105

The provider's authorized official is Ithamar Castro .
The authorized official title is Dentist and has the following contact phone number (787) 783-6698.

The enumeration date for this NPI number is 4/30/2009 and was last updated on 4/30/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	2239	PUERTO RICO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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