Individual Healthcare Provider
Shineille Blair, DDS
Provider's NPPES record last updated: June 30, 2023
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1073290185
- Primary Specialty
- Dentist
- Practice Location
- Fayetteville, Georgia
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 10:48 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Dentist
Dental Providers
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 degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Taxonomy code 122300000X
Provider-Reported License Information
- Dentist (Georgia)
- DN123140
Practice Locations
Practice Location
719 Lanier Ave W
Fayetteville, Georgia 30214-7634
Phone: (770) 615-0999
Additional Practice Location
3050 Martin Luther King Jr Dr Sw
Atlanta, Georgia 30311-1500
Phone: (404) 696-3163
Additional Practice Location
6175 Old National Hwy Ste 430
Atlanta, Georgia 30349-4470
Phone: (678) 228-8235
Additional Practice Location
1607 White Way
Atlanta, Georgia 30344-3317
Phone: (404) 382-5845
Additional Practice Location
3695 Cascade Rd Sw Ste V
Atlanta, Georgia 30331-2146
Phone: (404) 236-6024
Additional Practice Location
3890 Redwine Rd Sw Ste 108
Atlanta, Georgia 30331-5583
Phone: (404) 586-4848
Record Information
- Enumeration Date
- June 30, 2023
- Provider's NPPES Record Last Updated
- June 30, 2023
- Certification Date
- June 29, 2023
- NPISignal NPPES Dataset
- August 2026
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