Keith A. Blackmon, D.D.S.

General Practice Dentistry · Dothan, AL

Individual Active NPI

NPI number 1629017744

Practice location

107 Professional Ln
Dothan, AL 36303-3875
Phone
(334) 792-5711
Fax
(334) 678-8157

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NPI record

NPI
1629017744
Entity type
Individual (Type 1)
Enumeration date
June 5, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 4491 AL

About Dr. Blackmon

Keith A. Blackmon, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 107 Professional Ln, Dothan, AL 36303-3875. The NPI number 1629017744 was assigned on June 5, 2006 and the record was last updated on July 8, 2007.

Dr. Blackmon lists a license in the registry: #4491 (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 Keith A. Blackmon, D.D.S.?

The NPI number is 1629017744.

What is the phone number of Dr. Blackmon?

The phone number listed for the practice location is (334) 792-5711.

Where is Dr. Blackmon located?

107 Professional Ln, Dothan, AL 36303-3875.

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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