Bilal Manzur, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN014918 Issued in GA

Practice address

754 Hwy 53 W
Dawsonville, GA 30534

Phone

(706) 265-2505

Fax

(706) 265-6007

NPI assigned

Dec 8, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• BMH Dentistry, P.C

  • Dental Clinic/Center
  • Dawsonville, GA
  • NPI 1770976763
  NPD (past) Authorized official
• BMH Dentistry, PC

  • General Practice Dentistry
  • Dawsonville, GA
  • NPI 1497774038
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1104155902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 182",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "30534",
            "telephone_number": "706-265-2505",
            "fax_number": "706-265-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 HWY 53 W",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "30534",
            "telephone_number": "706-265-2505",
            "fax_number": "706-265-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZUR",
        "first_name": "BILAL",
        "name_prefix": "Mr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-08",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18865",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Magat, M.D.
• Mozamel Ahmed Malik, DMD
• Alexis Rose Malkasian, PT, DPT
• Gabriella Hope Malone
• Andrew Kevin Manderson
• Rebecca Marrick, OTR/L
• Stephanie Marusarz
• Rhonda Gail Massey, CNM
• Mandeep K Mathaun, LPN
• Brittany Hall Matson

• General Practice Dentistry in Dawsonville, GA
• Providers in Dawsonville, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.