Optima Dental Pc

LBN: Optima Dental Pc
Optima Dental Pc is an health care organization with primary practice located at 4825 Sugarloaf Pkwy , Lawrenceville GA 30044-8800. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Optima Dental Pc can be contacted via phone (770) 962-4322, or through Anizor, Isioma via phone (770) 962-4322.

Contact Information

Primary practice address
4825 Sugarloaf Pkwy Lawrenceville GA 30044-8800
Phone: (770) 962-4322
Fax: (678) 407-2787
Website:
Map and Directions
Authorized official contact:
Name: Anizor, Isioma Doctor of Dental Surgery (DDS)
Phone: (770) 962-4322

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1720303480
LBN Legal business name Optima Dental Pc
DBA Doing business as
Authorized official Anizor, Isioma Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2010
Last updated Apr 6th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720303480 NPPES
Georgia MEDICAID 122300000X

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