Rita Okolo, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN123582 Issued in GA

Practice address

2030 Cumming Hwy Ste 110
Canton, GA 30115-8009

Phone

(404) 974-9000

NPI assigned

Aug 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1881322261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 CUMMING HWY STE 110",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301158009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 CUMMING HWY STE 110",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301158009",
            "telephone_number": "404-974-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "136 SW Greenville Blvd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278346906",
            "country_code": "US",
            "telephone_number": "252-931-8232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKOLO",
        "first_name": "RITA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "13002",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN123582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Obtain the Promise LLC
• Lucia V Ocanoviciu, NP-C
• Valerie Alexis Odorico-Reid, DC
• Miranda Oglesby
• Doris Ogolo
• Sydney Okonoboh, DMD
• Bethany Oliver Craig, M. ED., BCBA
• Kristin Oliver, FNP-C
• Alison Lynn Olsen, PT, DPT
• Richard E Olson II, D.C.

• Dentist in Canton, GA
• Providers in Canton, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.