Bronx Community Dental Care PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

054471 Issued in NY

Legal business name

BRONX COMMUNITY DENTAL CARE PC

Practice address

471 E Tremont Ave
Bronx, NY 10457-4401

Phone

(718) 618-7612

NPI assigned

Nov 21, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Oleg Nektalov, D.D.S.

Title

President

Phone

(718) 618-7612

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1306113253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104574401",
            "telephone_number": "718-618-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104574401",
            "telephone_number": "718-618-7612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX COMMUNITY DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-21",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "NEKTALOV",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-618-7612",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "054471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bronx Chemists Corp
• Bronx Chemists RX Inc
• Bronx Childrens Psychiatric Center
• Bronx Chiropractic Care PC
• Bronx Chiropractic Services PC
• Bronx Community Dental, PLLC
• Bronx Community Health Network
• Bronx Community Home Care, Inc.
• Bronx Community Medicine Integrated Care PLLC
• Bronx Community Medicine, PLLC

• Dental Clinic/Center in Bronx, NY
• Providers in Bronx, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.