=====================================================
General NPI Number Information
=====================================================
NPI Number | 1306750229
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BMA DENTAL LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/29/2026
-----------------------------------------------------
Last Update Date | 09/29/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1905 SCENIC HWY N STE 510
-----------------------------------------------------
City | SNELLVILLE
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30078-5635
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 770-979-6400
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1905 SCENIC HWY N STE 510
-----------------------------------------------------
City | SNELLVILLE
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30078-5635
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 770-979-6400
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. BELEMA MARK ABERE
-----------------------------------------------------
Credential | DMD
-----------------------------------------------------
Telephone | 770-979-6400
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223P0221X
-----------------------------------------------------
Taxonomy Name | Pediatric Dentistry
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------