Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Optimum Dental Center, PC

Organization Dentist · NPI 1205087285

Optimum Dental Center, PC is a Dentist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11076 S Longwood Dr
Chicago, IL 60643
Phone: (773) 239-7258
Fax: (773) 239-7259
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019-022902 (IL)

Record details

NPI number1205087285
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deborah Montgomery — Owner/Dentist · (773) 239-7258
NPI enumeratedOctober 8, 2008
Last updated in NPPESOctober 8, 2008
Mailing address11076 S. Longwood Dr., Chicago, IL 60643

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