Provider Demographics
NPI:1053471698
Name:HOUENOU, HELIODORE ANATOLE (DDS)
Entity type:Individual
Prefix:
First Name:HELIODORE
Middle Name:ANATOLE
Last Name:HOUENOU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1790 ATKINSTON ROAD
Mailing Address - Street 2:BUILDING 4, SUITE B
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043
Mailing Address - Country:US
Mailing Address - Phone:770-962-4322
Mailing Address - Fax:
Practice Address - Street 1:1790 ATKINSTON ROAD
Practice Address - Street 2:BLDG 4, STE B
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043
Practice Address - Country:US
Practice Address - Phone:770-962-4322
Practice Address - Fax:678-407-2787
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0122161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice