DR. SYDNEY OKONOBOH DMD
NPI 1083283865
Dentist - General Practice in Canton, GA

Active since June 24, 2021
2030 CUMMING HWY STE 110, CANTON, GA 30115(678) 818-8480 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 24, 2022, Jan 21, 2022, Jun 24, 2021 (3 updates tracked since 2021).

About Dr. Sydney Okonoboh Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SYDNEY OKONOBOH DMD (NPI 1083283865) is an individual general practice provider in Canton, Georgia, licensed in Georgia (DN122541) and active in the NPI registry since June 2021. He maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1083283865
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SYDNEY OKONOBOHCredential: DMD
Location Address2030 CUMMING HWY STE 110Canton, GA 30115-8009
Mailing Address2030 Cumming Hwy Ste 110Canton, GA 30115-8009 · (315) 454-6000 · Fax (866) 803-4943
Sole ProprietorYes
Enumeration DateJune 24, 2021
Last NPPES UpdateJanuary 24, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2022
NPI 1083283865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in GA · DN122541
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 1002585 (WI)
2030 CUMMING HWY STE 110, Canton, GA 30115

Secondary Practice Location 1

Location 1710 W Historic Mitchell StMilwaukee, WI 53204-3556 · Phone (773) 798-9382

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
2030 CUMMING HWY STE 110
CANTON, GA 30115

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sydney Okonoboh's NPI number?

The NPI number for Sydney Okonoboh is 1083283865. It was assigned to this individual provider in the NPPES registry on June 24, 2021.

Where is Sydney Okonoboh located?

Sydney Okonoboh practices at 2030 Cumming Hwy Ste 110, Canton, GA 30115. The listed phone number is (678) 818-8480.

What is Sydney Okonoboh's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Sydney Okonoboh accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 13 other insurers list Sydney Okonoboh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sydney Okonoboh was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.