DR. BENJAMIN ALLAN BLACKBURN III (NPI# 1679763684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679763684 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN ALLAN BLACKBURN III |
| Credential | DDS |
| Practice Address |
75 Piedmont Ave Ne Ste 400 Atlanta GA 30303-2509 |
| Practice Telephone | 4046597696 |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
12333 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609073758 | Benjamin Allen Blackburn II | Dentist | 2812 Piedmont Rd Ne, Suite 400, Atlanta, GA 30305-2779 | 2007-07-02 |
| 1649380049 | Benjamin W Blackburn | Physician Assistant | 8849 S Redwood Rd, Ste E-121, West Jordan, UT 84088-5619 | 2006-08-30 |
| Street Address |
75 PIEDMONT AVE NE STE 400 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30303-2509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597461 | Nanoresearch, Inc | Point of Service | 58 Edgewood Ave Ne, Suite 122, Collabtech., Gsu, Atlanta, GA 30303 | 2020-10-31 |
| 1952917155 | Alesha Deshay Elbert | Behavior Technician | 206 Peachstreet Ne Suite 2200, Atlanta, GA 30303 | 2020-09-22 |
| 1033759386 | Mark Bush | Case Manager/Care Coordinator | 50 Hurt Plaza Se Suite 1108, Atlanta, GA 30303 | 2020-01-14 |
| 1053965855 | Patrice Munsel Henry | Nurse Practitioner | 80 Jessie Hill Drive Se, Atlanta, GA 30303 | 2019-07-30 |
| 1356826564 | United States Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 260 Peachtree Street Nw, Suite 2200, Office 2228, Atlanta, GA 30303 | 2018-10-03 |
| 1336645290 | Joseph Bahng | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Drive Se, Glenn Building, 4th Floor - 412b, Atlanta, GA 30303 | 2018-03-31 |
| 1841704707 | Amber Peach LLC | Family Medicine | 260 Peachtree St Nw Suite 2200, Atlanta, GA 30303 | 2017-11-29 |
| 1447778089 | Jasmine Williams | Behavioral Analyst | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-09-05 |
| 1982138236 | Mahek Dossani | Behavior Technician | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-04-13 |
| 1255872420 | Alexis Annick Auger | Behavior Technician | 260 Peachtree St. Nw, Suite 2200, Atlanta, GA 30303 | 2017-03-20 |
| Find all providers in zip 30303 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382354 | Astoria Dentistry LLC | Dentist | 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 | 2019-12-09 |
| 1942655816 | Dental Rescue Therapy Group, LLC | Dentist | 39 Vernon Glen Ct, Atlanta, GA 30338-5422 | 2016-04-28 |
| 1033576921 | Hal Arnold | Dentist | 50 Old Ivy Rd Ne, Suite 100, Atlanta, GA 30342-4538 | 2016-01-22 |
| 1770718553 | Anna Magdalena Refai | Dentist | 200 Galleria Pkwy, Suite 1830, Atlanta, GA 30339 | 2009-05-21 |
| 1609073758 | Benjamin Allen Blackburn II | Dentist | 2812 Piedmont Rd Ne, Suite 400, Atlanta, GA 30305-2779 | 2007-07-02 |
| 1508073966 | Herman A Donatelli | Dentist | 3535 Piedmont Rd Ne Ste 100, Atlanta, GA 30305 | 2007-05-16 |
| 1841311164 | David Arnold Zelby | Dentist | 200 Galleria Pkwy Se Ste 1830, Atlanta, GA 30339-5969 | 2007-04-03 |
| 1205922697 | Cary Ellis Goldstein | Dentist | 134 E Andrews Dr Nw, Suite A, Atlanta, GA 30305-1315 | 2006-10-05 |
| 1649365735 | Jay Michael Auerbach | Dentist | 4320 Roswell Rd Ne, Atlanta, GA 30342-3317 | 2006-10-04 |
| 1548362668 | Hal N Arnold Dmd Ms PC | Dentist | 50 Old Ivy Road, Ste 100, Atlanta, GA 30342 | 2006-09-01 |
| Find all providers in ATLANTA | ||||
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| 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.