Individual provider Active NPI

Duke Osita Okeke, DDS

  • General Practice Dentistry
  • Villa Rica, GA
National Provider Identifier
1972119352
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN122683 Issued in GA
Practice address
105 Dallas Hwy
Villa Rica, GA 30180-1906
Phone
(770) 459-5778
NPI assigned
Sep 21, 2020
Last updated
Jul 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN122683 GA Primary

Addresses

Primary practice location

105 Dallas Hwy
Villa Rica, GA 30180-1906

Mailing address

3343 Peachtree Rd NE Ste 145
Atlanta, GA 30326-1427
Phone (404) 913-9852

Other identifiers 1

IdentifierTypeStateIssuer
DN122683OtherGAGABDE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.yourcompletdental.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12047NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Norcross Dental Associates General Practice Past Accepting new patients
East Cobb Family Dentistry General Practice Past Accepting new patients
Buckhead Smile Center, P.C. General Practice Past Accepting new patients
M Dawn Harvey DMD PC Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1972119352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3343 PEACHTREE RD NE STE 145",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261427",
            "telephone_number": "404-913-9852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 DALLAS HWY",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801906",
            "telephone_number": "770-459-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEKE",
        "first_name": "DUKE",
        "middle_name": "OSITA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-21",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN122683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GABDE",
            "identifier": "DN122683",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.yourcompletdental.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1215 W Gate Dr Ste 180",
            "city": "Leland",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284510437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Villa Rica, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.