1. Home
  2. Directory
  3. Georgia
  4. Lawrenceville
  5. Dentist
  6. NPI Profile

OPTIMA DENTAL PC
NPI 1720303480
Dentist - General Practice in Lawrenceville, GA

Active since April 06, 2010
1790 ATKINSTON ROAD, BLDG 4, STE B, LAWRENCEVILLE, GA 30043(770) 962-4322(678) 407-2787 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Optima Dental Pc NPPES

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

OPTIMA DENTAL PC (NPI 1720303480) is a healthcare organization registered as a general practice in Lawrenceville, Georgia and active in the NPI registry since April 2010. The organization lists Isioma Anizor, Officer, as its authorized official.

NPPES Registry Identity

NPI1720303480
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameOPTIMA DENTAL PC
Location Address1790 ATKINSTON ROAD, BLDG 4, STE BLawrenceville, GA 30043
Mailing Address1790 Atkinston Road, Bldg 4, Ste BLawrenceville, GA 30043 · (770) 962-4322 · Fax (678) 407-2787
Phone(770) 962-4322
Fax(678) 407-2787
Organization SubpartNo
Authorized OfficialIsioma AnizorOfficer · (770) 962-4322
Enumeration DateApril 6, 2010
Last NPPES UpdateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
✔ NPI 1720303480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
1790 ATKINSTON ROAD, Lawrenceville, GA 30043
Open in Google Maps ↗

Other Identifiers 1

Medicaid122300000XGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

HELIODORE ANATOLE HOUENOU DDS
Dentist (General Practice)
1790 ATKINSTON ROAD, BLDG 4, STE B
LAWRENCEVILLE, GA 30043
Gwinnett County (770) 962-4322

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 Optima Dental PC's NPI number?

The NPI number for Optima Dental PC is 1720303480. It was assigned to this organization in the NPPES registry on April 6, 2010.

Where is Optima Dental PC located?

Optima Dental PC is located at 1790 Atkinston Road Bldg 4, Ste B, Lawrenceville, GA 30043. The listed phone number is (770) 962-4322.

What is Optima Dental PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Optima Dental PC was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.