P Praxis·MD
● Active Type 1 · Individual

DR. Shineille Blair, DDS

Dentist·Fayetteville, GA· NPI 1073290185 · Enumerated 2023 · 2 years on NPI
Blair is 1 of 27 dentist providers in Fayetteville and 1 of 2660 in Georgia.
NPI age
2 years
Enumerated 2023-06-30
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-06-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2660 active dentist providers in Georgia.

NPI age
2 years
↓ 12 yr below median (14 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-06Enumerated in NPPES
2023 2026

Where they practice

Practice location
719 Lanier Ave W
Fayetteville, GA 302147634
📞 7706150999fax 7707312385
Mailing address
14500 Sw 37th St
Miramar, FL 330273789
📞 9543587511

Additional practice locations

5 secondary locations on file with NPPES.

Location 2
3890 Redwine Rd Sw Ste 108
Atlanta, GA 303315583
📞 4045864848
Location 3
3050 Martin Luther King JR Dr Sw
Atlanta, GA 303111500
📞 4046963163
Location 4
6175 Old National Hwy Ste 430
Atlanta, GA 303494470
📞 6782288235
Location 5
1607 White Way
Atlanta, GA 303443317
📞 4043825845
Location 6
3695 Cascade Rd Sw Ste V
Atlanta, GA 303312146
📞 4042366024

Specialties

  • Dentist Primary
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    GA license #DN123140 taxonomy 122300000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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