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DR. SHINEILLE BLAIR DDS
NPI 1073290185
Dentist in Fayetteville, GA

Active since June 30, 2023
719 LANIER AVE W, FAYETTEVILLE, GA 30214(770) 615-0999(770) 731-2385 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Shineille Blair Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHINEILLE BLAIR DDS (NPI 1073290185) is an individual dentist in Fayetteville, Georgia, licensed in Georgia (DN123140) and active in the NPI registry since June 2023. She maintains 5 additional practice locations.

NPPES Registry Identity

NPI1073290185
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. SHINEILLE BLAIRCredential: DDS
Location Address719 LANIER AVE WFayetteville, GA 30214-7634
Mailing Address14500 Sw 37th StMiramar, FL 33027-3789 · (954) 358-7511
Phone(770) 615-0999
Fax(770) 731-2385
Sole ProprietorNo
Enumeration DateJune 30, 2023
NPPES CertifiedJune 29, 2023
✔ NPI 1073290185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in GA · DN123140
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
719 LANIER AVE W, Fayetteville, GA 30214
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Secondary Practice Locations 5

Location 13050 Martin Luther King Jr Dr SWAtlanta, GA 30311-1500 · Phone (404) 696-3163
Location 26175 Old National Hwy Ste 430Atlanta, GA 30349-4470 · Phone (678) 228-8235
Location 31607 White WayAtlanta, GA 30344-3317 · Phone (404) 382-5845
Location 43695 Cascade Rd SW Ste VAtlanta, GA 30331-2146 · Phone (404) 236-6024
Location 53890 Redwine Rd SW Ste 108Atlanta, GA 30331-5583 · Phone (404) 586-4848

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shineille Blair's NPI number?

The NPI number for Shineille Blair is 1073290185. It was assigned to this individual provider in the NPPES registry on June 30, 2023.

Where is Shineille Blair located?

Shineille Blair practices at 719 Lanier Ave W, Fayetteville, GA 30214. The listed phone number is (770) 615-0999.

What is Shineille Blair's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Shineille Blair accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Shineille Blair as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shineille Blair was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.