Individual provider Active NPI

Michael Allen Bens, D.M.D.

  • Dentist
  • Atlanta, GA
National Provider Identifier
1124034913
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN012194 Issued in GA
Practice address
6111 Peachtree Dunwoody Rd # D-101
Atlanta, GA 30328-6049
Phone
(770) 913-0703
Fax
(770) 913-0075
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN012194 GA Primary

Addresses

Primary practice location

6111 Peachtree Dunwoody Rd # D-101
Atlanta, GA 30328-6049

Mailing address

6111 Peachtree Dunwoody Rd # D-101
Atlanta, GA 30328-6049
Phone (770) 913-0703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN012194GAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael a Bens DMD PC CurrentSince Nov 18, 2025 Accepting new patients

Locations

1150 Hammond Dr
Ste 225
Sandy Springs, GA 30328
Phone (770) 913-0703

6111 Peachtree Dunwoody Rd
#D101
Sandy Springs, GA 30328
Phone (770) 913-0703

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1124034913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6111 PEACHTREE DUNWOODY RD # D-101",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303286049",
            "telephone_number": "770-913-0703",
            "fax_number": "770-913-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 PEACHTREE DUNWOODY RD # D-101",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303286049",
            "telephone_number": "770-913-0703",
            "fax_number": "770-913-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENS",
        "first_name": "MICHAEL",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN012194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.