ALLEN W BALLAR,DDS AND MATTHEW P BLEICKEN,DMD,LLC (NPI# 1487879821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487879821 |
| Entity Type | Organization |
| Organization Name | ALLEN W BALLAR,DDS AND MATTHEW P BLEICKEN,DMD,LLC |
| Practice Address |
3772 Satellite Blvd Suite 200 Duluth GA 30096-5681 |
| Practice Telephone | 7704971045 |
| Practice Fax Number | 7706236288 |
| Mailing Telephone | 7704971045 |
| Mailing Fax Number | 7706236288 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. KATHRYN C BALLAR (OFFICE MANAGER) |
| Authorized Official Telephone | 7704971045 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8321 | GA | Dental Providers |
| Street Address |
3772 SATELLITE BLVD SUITE 200 |
| City | DULUTH |
| State | GA |
| Zip Code | 30096-5681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245265503 | Clarence Cornell Kegler II | Dentist | 3772 Satellite Blvd, Suite 103, Duluth, GA 30096-5681 | 2006-07-12 |
| 1467983668 | Kidzcare Pediatrics, Inc | Pediatrics | 3772 Satellite Blvd, Suite 101, Duluth, GA 30096-5681 | 2017-03-21 |
| 1891813606 | Matthew Page Bleicken | Dentist | 3772 Satellite Blvd, Suite 200, Duluth, GA 30096-5681 | 2007-03-27 |
| 1316065212 | Allen William Ballar | Dentist | 3772 Satellite Blvd, Suite 200, Duluth, GA 30096-5681 | 2007-03-27 |
| 1932232329 | Barry Kennedy | Dentist | 3772 Satellite Blvd, Suite 204, Duluth, GA 30096-5681 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023677275 | Gabrielle Lina Going | Dentist | 2405 Satellite Blvd Ste 115, Duluth, GA 30096-9022 | 2019-06-11 |
| 1093296733 | Marharyta Viarkhouskaya | Dentist | 2550 Pleasant Hill Rd Ste 119, Duluth, GA 30096-9278 | 2018-08-21 |
| 1881114015 | Eric Michael Anderson | Dentist | 2925 Premiere Pkwy Ste 165, Duluth, GA 30097-5258 | 2017-06-20 |
| 1790213825 | Devan Callaway | Dentist | 3415 Highway 120, Duluth, GA 30096-3354 | 2017-06-02 |
| 1184161119 | George Marius Dinulescu | Dentist | 3780 Old Norcross Rd Ste 303, Duluth, GA 30096-1742 | 2017-01-29 |
| 1801260187 | Bluestone Dental Pllc | Dentist | 906 Woodland Avenue, Duluth, MN 55812-1113 | 2015-11-24 |
| 1144600859 | Camille Zelen Dds Pa | Dentist | 1624 Woodland Ave, Duluth, MN 55803-2628 | 2015-06-08 |
| 1205230976 | Ace Dental Care, LLC | Dentist | 7990 Turnberry Way, Duluth, GA 30097-1634 | 2014-10-09 |
| 1588904619 | Janet Stuckwish Dunwody | Dentist | 3677 Habersham Ln, Duluth, GA 30096-6111 | 2013-02-27 |
| 1124305057 | Jong S Lee | Dentist | 4855 River Green Pkwy Ste 110, Duluth, GA 30096-8333 | 2011-11-06 |
| Find all providers in DULUTH | ||||
Please comment or provide details below to improve the information on ALLEN W BALLAR,DDS AND MATTHEW P BLEICKEN,DMD,LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.