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ALLEN W BALLAR,DDS AND MATTHEW P BLEICKEN,DMD,LLC
NPI 1487879821
Dentist - General Practice in Duluth, GA

Active since April 13, 2007
3772 SATELLITE BLVD, SUITE 200, DULUTH, GA 30096(770) 497-1045(770) 623-6288 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Allen W Ballar,dds And Matthew P Bleicken,dmd,llc NPPES

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

ALLEN W BALLAR,DDS AND MATTHEW P BLEICKEN,DMD,LLC (NPI 1487879821) is a healthcare organization registered as a general practice in Duluth, Georgia and active in the NPI registry since April 2007. The organization lists Kathryn C Ballar, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1487879821
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameALLEN W BALLAR,DDS AND MATTHEW P BLEICKEN,DMD,LLC
Location Address3772 SATELLITE BLVD, SUITE 200Duluth, GA 30096-5681
Mailing Address3772 Satellite Blvd, Suite 200Duluth, GA 30096-5681 · (770) 497-1045 · Fax (770) 623-6288
Phone(770) 497-1045
Fax(770) 623-6288
Organization SubpartNo
Authorized OfficialKathryn C BallarOffice Manager · (770) 497-1045
Enumeration DateApril 13, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1487879821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · 8321
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3772 SATELLITE BLVD, Duluth, GA 30096
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

DR. CLARENCE CORNELL KEGLER II DDS
Dentist (General Practice)
3772 SATELLITE BLVD, SUITE 103
DULUTH, GA 30096
Gwinnett County (770) 476-9511
DR. ALLEN WILLIAM BALLAR DDS
Dentist (General Practice)
3772 SATELLITE BLVD, SUITE 200
DULUTH, GA 30096
Gwinnett County (770) 497-1045
KIDZCARE PEDIATRICS, INC
Pediatrics
3772 SATELLITE BLVD, SUITE 101
DULUTH, GA 30096
Gwinnett County (772) 812-3678
DR. MATTHEW PAGE BLEICKEN DMD
Dentist (General Practice)
3772 SATELLITE BLVD, SUITE 200
DULUTH, GA 30096
Gwinnett County (770) 497-1045
DR. BARRY KENNEDY D.D.S.
Dentist (Periodontics)
3772 SATELLITE BLVD, SUITE 204
DULUTH, GA 30096
Gwinnett County (770) 623-4661

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 Allen W Ballar,dds And Matthew P Bleicken,dmd,llc's NPI number?

The NPI number for Allen W Ballar,dds And Matthew P Bleicken,dmd,llc is 1487879821. It was assigned to this organization in the NPPES registry on April 13, 2007.

Where is Allen W Ballar,dds And Matthew P Bleicken,dmd,llc located?

Allen W Ballar,dds And Matthew P Bleicken,dmd,llc is located at 3772 Satellite Blvd Suite 200, Duluth, GA 30096. The listed phone number is (770) 497-1045.

What is Allen W Ballar,dds And Matthew P Bleicken,dmd,llc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Allen W Ballar,dds And Matthew P Bleicken,dmd,llc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.