Shineille Blair, DDS

Dentist · Fayetteville, GA

Individual Active NPI

NPI number 1073290185

Practice location

719 Lanier Ave W
Fayetteville, GA 30214-7634
Phone
(770) 615-0999
Fax
(770) 731-2385

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NPI record

NPI
1073290185
Entity type
Individual (Type 1)
Enumeration date
June 30, 2023
Last updated
June 30, 2023
Certified
June 29, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DN123140 GA

Mailing address

14500 SW 37TH St
Miramar, FL 33027-3789
Phone
(954) 358-7511

Other practice locations (5)

  • 3695 Cascade Rd SW Ste V, Atlanta, GA 30331-2146 · (404) 236-6024
  • 6175 Old National Hwy Ste 430, Atlanta, GA 30349-4470 · (678) 228-8235
  • 1607 White Way, Atlanta, GA 30344-3317 · (404) 382-5845
  • 3050 Martin Luther King Jr Dr SW, Atlanta, GA 30311-1500 · (404) 696-3163
  • 3890 Redwine Rd SW Ste 108, Atlanta, GA 30331-5583 · (404) 586-4848

About Dr. Blair

Shineille Blair, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 719 Lanier Ave W, Fayetteville, GA 30214-7634. The NPI number 1073290185 was assigned on June 30, 2023 and the record was last updated on June 30, 2023.

Dr. Blair lists a license in the registry: #DN123140 (GA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Shineille Blair, DDS?

The NPI number is 1073290185.

What is the phone number of Dr. Blair?

The phone number listed for the practice location is (770) 615-0999.

Where is Dr. Blair located?

719 Lanier Ave W, Fayetteville, GA 30214-7634.

What is the taxonomy code for Dr. Blair?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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