Organization Active NPI

Optum Dental Arts PLLC

  • General Practice Dentistry
  • Tampa, FL
National Provider Identifier
1497678338
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
OPTUM DENTAL ARTS PLLC
Practice address
5721 Gunn Hwy
Tampa, FL 33625
Phone
(813) 600-5256
Fax
(813) 607-4397
NPI assigned
Jul 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Roderick Hudson Burton Davies, D.D.S.NPI 1003282690
Title
Ceo
Phone
(405) 432-6415

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5721 Gunn Hwy
Tampa, FL 33625

Mailing address

5721 Gunn Hwy
Tampa, FL 33625
Phone (813) 600-5256

National Provider Directory

National Provider Directory

Locations

5721 Gunn Hwy
Tampa, FL 33625
Phone (813) 600-5256

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1497678338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5721 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33625",
            "telephone_number": "813-600-5256",
            "fax_number": "813-607-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33625",
            "telephone_number": "813-600-5256",
            "fax_number": "813-607-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM DENTAL ARTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-30",
        "last_updated": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "DAVIES",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_middle_name": "HUDSON BURTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-432-6415",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.