Individual provider Active NPI

Afshan Syeda Shahana Bintory, D.M.D

  • Pediatric Dentistry
  • Norcross, GA
National Provider Identifier
1659444073
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN013016 Issued in GA
Practice address
1235 Indian Trail Lilburn Rd
Suite# 300
Norcross, GA 30093-5524
Phone
(678) 735-8168
Fax
(770) 729-8262
NPI assigned
Nov 15, 2006
Last updated
May 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN013016 GA
Pediatric Dentistry 1223P0221X DN013016 GA Primary

Addresses

Primary practice location

1235 Indian Trail Lilburn Rd
Suite# 300
Norcross, GA 30093-5524

Mailing address

6041 Norcross Glen Trce
Norcross, GA 30071-1811
Phone (678) 735-8168

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
DN013016GAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Little Pearls Pediatric Dentistry Pediatric Dentistry CurrentSince Dec 21, 2025 Accepting new patients

Locations

1235 Indian Trail Rd
Ste 300
Norcross, GA 30093
Phone (770) 837-9431

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1659444073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6041 NORCROSS GLEN TRCE",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711811",
            "telephone_number": "678-735-8168",
            "fax_number": "770-729-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 INDIAN TRAIL LILBURN RD",
            "address_2": "SUITE# 300",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300935524",
            "telephone_number": "678-735-8168",
            "fax_number": "770-729-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINTORY",
        "first_name": "AFSHAN",
        "middle_name": "SYEDA SHAHANA",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013016",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN013016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.