MEDICARE: ALLEN J. BLASS, D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	008304	GA
2	122300000X	Dentist	008787	GA
3	122300000X	Dentist	006716	GA

General Provider Information

NPI Number	:	1851500292
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLEN J. BLASS, D.D.S.

Provider Business Mailing Address
First Line	:	4920 ROSWELL RD NE
Second Line	:	SUITE 13A
City	:	ATLANTA
State	:	GA
Zip	:	30342-2601
Country	:	US
Telephone Number	:	404-236-7222
Fax Number	:	404-250-9143

Provider Business Practice Location Address
First Line	:	4920 ROSWELL RD NE
Second Line	:	SUITE 13A
City	:	ATLANTA
State	:	GA
Zip	:	30342-2601
Country	:	US
Telephone Number	:	404-236-7222
Fax Number	:	404-250-9143

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. CYNTHIA LAWLESS
Credential	:
Telephone Number	:	404-236-7222

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1285583369 — DANIELLE LYNNETTE YOUNG
Practice Location Address:

3200 LENOX RD NE APT A102
ATLANTA, GA
30324-2601

Practice Phone: 470-494-5588
Practice Fax:

1922311026 — DR. PARIT MEKAROONKAMOL MD
Practice Location Address:

1365 CLIFTON RD NE
ATLANTA, GA
30322-2601

Practice Phone: 404-778-3184
Practice Fax:

1679439293 — FOREVER YOUNG TRUCKING LLC
Practice Location Address:

3200 LENOX RD NE APT A102
ATLANTA, GA
30324-2601

Practice Phone: 470-494-5588
Practice Fax:

1215556790 — SINDHU SRINIVAS
Practice Location Address:

5671 PEACHTREE DUNWOODY RD STE 660
ATLANTA, GA
30342-5006

Practice Phone: 404-843-0090
Practice Fax: 404-843-1008

1619247046 — DR. CIMONE DANIELLE CARTER PHARM.D.
Practice Location Address:

1000 JOHNSON FY RD NE
ATLANTA, GA
30342-1611

Practice Phone: 404-851-8102
Practice Fax:

1588939151 — ELLEN JEANETTE SMEAD CNM
Practice Location Address:

980 JOHNSON FERRY RD STE 660
ATLANTA, GA
30342-1608

Practice Phone: 404-497-1350
Practice Fax: 404-497-1427

Directions to “ALLEN J. BLASS, D.D.S. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.