Kenneth Allen Blackmon Jr., D.M.D.

General Practice Dentistry · Troy, AL

Individual Active NPI

NPI number 1215055041

Practice location

815 S Brundidge St
Troy, AL 36081-3219
Phone
(334) 566-8266
Fax
(334) 566-7850

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NPI record

NPI
1215055041
Entity type
Individual (Type 1)
Enumeration date
March 27, 2007
Last updated
March 13, 2023
Certified
March 13, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 4419CF AL

Mailing address

PO Box 248
Troy, AL 36081-0248
Phone
(334) 566-8266
Fax
(334) 566-7850

About Dr. Blackmon

Kenneth Allen Blackmon Jr., D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 815 S Brundidge St, Troy, AL 36081-3219. The NPI number 1215055041 was assigned on March 27, 2007 and the record was last updated on March 13, 2023.

Dr. Blackmon lists a license in the registry: #4419CF (AL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kenneth Allen Blackmon Jr., D.M.D.?

The NPI number is 1215055041.

What is the phone number of Dr. Blackmon?

The phone number listed for the practice location is (334) 566-8266.

Where is Dr. Blackmon located?

815 S Brundidge St, Troy, AL 36081-3219.

What is the taxonomy code for Dr. Blackmon?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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