Active NPI
Robert Benjamin Allred, DMD, M.S.
- Dentist
- Griffin, GA
National Provider Identifier
1376758318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN014067
- Practice address
- 743 S 8TH St
Griffin, GA 30224-4818 - Phone
- (770) 228-6101
- Fax
- (770) 228-6170
- NPI assigned
- May 12, 2007
- Last updated
- May 28, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT001004 | GA | |
| Marriage & Family Therapist | 106H00000X | 4929966-3902 | UT | |
| Dentist | 122300000X | DN014067 | GA | Primary |
Addresses
Primary practice location
743 S 8TH St
Griffin, GA 30224-4818
Mailing address
2935 Hickory Hill Rd
Brooks, GA 30205-2458
Phone (706) 993-6695
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT001004 | GA | MD | Marriage & Family Therapist |
| 4929966-3902 | UT | MD | Marriage & Family Therapist |
| DN014067 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275004800000",
"number": "1376758318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2935 HICKORY HILL RD",
"city": "BROOKS",
"state": "GA",
"postal_code": "302052458",
"telephone_number": "706-993-6695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "743 S 8TH ST",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302244818",
"telephone_number": "770-228-6101",
"fax_number": "770-228-6170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLRED",
"first_name": "ROBERT",
"middle_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "DMD, M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-12",
"last_updated": "2010-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "MFT001004",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "UT",
"license": "4929966-3902",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN014067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Griffin, GA
- Lenora Allen, M.D.
- Allred Dental Group LLC (Allred Family Dentistry)
- Allred Dentistry Griffin (Allred Dentistry)
- Allred Family Dentistry
- Marc Brandon Allred, DMD
- Fabian Andres Altamirano Donoso, M.D.
- Amedisys Northwest, L.L.C. (Amedisys Home Health of Griffin)
- Matthew A Amin, MD
- Cyril Anara, M.D
- Chanda R Anderson, MS, LPC, NCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.