DR. BENJAMIN ALLEN BLACKBURN II (NPI# 1609073758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609073758 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN ALLEN BLACKBURN II |
| Credential | D.D.S |
| Practice Address |
2812 Piedmont Rd Ne Suite 400 Atlanta GA 30305-2779 |
| Mailing Address |
2812 Piedmont Rd Ne Atlanta GA 30305-2779 |
| Practice Telephone | 4046597696 |
| Mailing Telephone | 4046597696 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2013-08-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
7401 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679763684 | Benjamin Allan Blackburn IIi | Dentist | 75 Piedmont Ave Ne Ste 400, Atlanta, GA 30303-2509 | 2007-07-26 |
| 1649380049 | Benjamin W Blackburn | Physician Assistant | 8849 S Redwood Rd, Ste E-121, West Jordan, UT 84088-5619 | 2006-08-30 |
| Street Address |
2812 PIEDMONT RD NE SUITE 400 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30305-2779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659981322 | Gerald E Roettger | Physical Therapist | 2955 Peachtree Road Nw, Suite A1, Atlanta, GA 30305 | 2020-08-06 |
| 1689202681 | Pt Hills Place Terraces LLC | Assisted Living Facility | 229 Peachtree Hills Place, Atlanta, GA 30305 | 2020-03-27 |
| 1043704299 | Alyssa Elrod Utz | Pharmacist | 3495 Piedmont Road, First Floor, Suite 110, Atlanta, GA 30305 | 2018-06-20 |
| 1508373689 | Kathryn Gohde | Counselor | 3525 Piedmont Rd Nw, Bldg 7 Suite 408, Atlanta, GA 30305 | 2018-01-10 |
| 1386195154 | Ryan Gabriel Wilkins | Physical Therapist | 550 Pharr Rd Ne Ste 550, Atlanta, GA 30305 | 2016-10-17 |
| 1821440587 | Monica Martinez Dicristina | Counselor | 3525 Piedmont Road, Building 7, Suite 408, Atlanta, GA 30305 | 2016-07-06 |
| 1164879532 | Brittany Nicole Albritton | Physical Therapist | 3169 Maple Drive Ne, Atlanta, GA 30305 | 2016-05-16 |
| 1588039275 | Alaina Blevins | Physician Assistant | 240 Pharr Rd Ne, Atlanta, GA 30305 | 2015-12-07 |
| 1558750141 | A2h2 | Clinic/Center | 2909 Peachtree Rd; Nw;, Atlanta, GA 30305 | 2015-01-20 |
| 1144619016 | We Up Home Health Services LLC | Clinic/Center | 2909 Peachtree Rd; Nw, Atlanta, GA 30305 | 2015-01-15 |
| Find all providers in zip 30305 | ||||
| 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 |
| 1679763684 | Benjamin Allan Blackburn IIi | Dentist | 75 Piedmont Ave Ne Ste 400, Atlanta, GA 30303-2509 | 2007-07-26 |
| 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 | ||||
Please comment or provide details below to improve the information on DR. BENJAMIN ALLEN BLACKBURN II.
| 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.