Individual provider Active NPI

Erik David Belinfante, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Marietta, GA
National Provider Identifier
1194720433
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN0011965 Issued in GA
Practice address
1000 Johnson Ferry Rd
BLDG H
Marietta, GA 30068-5518
Phone
(770) 977-0364
Fax
(678) 819-6531
NPI assigned
Jun 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN0011965 GA Primary

Addresses

Primary practice location

1000 Johnson Ferry Rd
BLDG H
Marietta, GA 30068-5518

Mailing address

P.O. Box 70188
Marietta, GA 30007-0188
Phone (770) 977-0364

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101215000711 GA Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 2769679844 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN0011965GAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Oral & Facial Surgery LLC Oral and Maxillofacial Surgery CurrentSince Jan 1, 2002 Accepting new patients

Locations

4749 Nelson Brogdon Blvd
Bldg 200
Buford, GA 30518
Phone (770) 932-7726

5959 Highway 53 E
Ste 250
Dawsonville, GA 30534
Phone (706) 265-1274

1350 Center Dr
Ste 100
Dunwoody, GA 30338
Phone (404) 255-2559

1260 Highway 54 W
Ste 200
Fayetteville, GA 30214
Phone (770) 461-2101

121 Marble Mill Rd NW
Ste 202GA
Marietta, GA 30060

121 Marble Mill Rd NW
Ste 202
Marietta, GA 30060
Phone (770) 218-9135

840 Church St NE
Bldg H
Marietta, GA 30060
Phone (770) 428-5476

3770 Due West Rd NW
Ste 200
Marietta, GA 30064
Phone (678) 741-8993

1000 Johnson Ferry Rd
Bldg H
Marietta, GA 30068
Phone (770) 973-4344

3895 Johns Creek Pkwy
Ste C
Suwanee, GA 30024
Phone (770) 418-0440

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": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1194720433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 70188",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300070188",
            "telephone_number": "770-977-0364",
            "fax_number": "678-819-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JOHNSON FERRY RD",
            "address_2": "BLDG H",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300685518",
            "telephone_number": "770-977-0364",
            "fax_number": "678-819-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELINFANTE",
        "first_name": "ERIK",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "DN0011965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.