DR. HANK R. DALLAM DMD
NPI 1114069424
Dentist - Orthodontics and Dentofacial Orthopedics in Stockbridge, GA

Active since February 13, 2007PECOS Enrolled
1040 EAGLES LANDING PKWY, SUITE 200, STOCKBRIDGE, GA 30281(770) 968-3302(770) 441-0299 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Hank R. Dallam Dmd NPPES

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

DR. HANK R. DALLAM DMD (NPI 1114069424) is an individual orthodontics and dentofacial orthopedics provider in Stockbridge, Georgia, licensed in Georgia (DN013071) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114069424
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. HANK R. DALLAMCredential: DMD
Location Address1040 EAGLES LANDING PKWY, SUITE 200Stockbridge, GA 30281-9072
Mailing Address1611 Waterford LndgMcdonough, GA 30253-7726 · (770) 331-2529 · Fax (770) 441-0299
Fax(770) 441-0299
Sole ProprietorNo
Enumeration DateFebruary 13, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1114069424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in GA · DN013071
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
1040 EAGLES LANDING PKWY, Stockbridge, GA 30281

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Hank R. Dallam Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30281 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
1040 EAGLES LANDING PKWY, SUITE 100
STOCKBRIDGE, GA 30281
Surgery
1040 EAGLES LANDING PKWY, SUITE 100
STOCKBRIDGE, GA 30281
Specialist
1040 EAGLES LANDING PKWY, 102
STOCKBRIDGE, GA 30281
Dentist (Pediatric Dentistry)
1040 EAGLES LANDING PKWY, SUITE 200
STOCKBRIDGE, GA 30281
Surgery
1040 EAGLES LANDING PKWY, SUITE100
STOCKBRIDGE, GA 30281
Psychiatry & Neurology (Neurology)
1040 EAGLES LANDING PKWY, STE 102
STOCKBRIDGE, GA 30281
Surgery
1040 EAGLES LANDING PKWY, SUITE 100
STOCKBRIDGE, GA 30281
Dentist (General Practice)
1040 EAGLES LANDING PKWY, SUITE 200
STOCKBRIDGE, GA 30281

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 Hank Dallam's NPI number?

The NPI number for Hank Dallam is 1114069424. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Where is Hank Dallam located?

Hank Dallam practices at 1040 Eagles Landing Pkwy Suite 200, Stockbridge, GA 30281. The listed phone number is (770) 968-3302.

What is Hank Dallam's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Hank Dallam enrolled in Medicare?

Yes. Hank Dallam is registered in the Medicare PECOS enrollment system.

What insurance does Hank Dallam accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Hank Dallam 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 Hank Dallam was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.