NPI age
16 years
Enumerated 2010-04-06
● Active Type 2 · Organization
Optima Dental Pc
Optima Dental Pc is 1 of 4309 dentist organizations in Georgia.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Anizor
Officer
Last NPPES update
2025-07-16
Source: monthly bulk 2026-05
How this organization compares
Across 4309 active dentist providers in Georgia.
NPI age
16 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-04Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
1790 Atkinston Road, Bldg 4, Ste B
Lawrenceville, GA 30043
Mailing address
1790 Atkinston Road, Bldg 4, Ste B
Lawrenceville, GA 30043
Authorized official
Isioma Anizor, DDS
Officer
📞 7709624322
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Heliodore Houenou, DDS Dentist NPI 1053471698
Specialties
-
Dentist PrimaryA 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 122300000X |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.