Michael Martin Blackmon, DR DDS

General Practice Dentistry · Calhoun, GA

Individual Active NPI

NPI number 1962575290

Practice location

705 Red Bud Rd NE Ste a
Calhoun, GA 30701-1966
Phone
(762) 538-2095
Fax
(762) 538-2097

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NPI record

NPI
1962575290
Entity type
Individual (Type 1)
Enumeration date
November 16, 2006
Last updated
August 17, 2022
Certified
August 17, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN011797 GA

Mailing address

7 Farm View Ct NW
Rome, GA 30165-2679
Phone
(706) 346-6793

About Michael Blackmon

Michael Martin Blackmon, DR DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 705 Red Bud Rd NE Ste a, Calhoun, GA 30701-1966. The NPI number 1962575290 was assigned on November 16, 2006 and the record was last updated on August 17, 2022.

Michael Blackmon lists a license in the registry: #DN011797 (GA) 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 Michael Martin Blackmon, DR DDS?

The NPI number is 1962575290.

What is the phone number of Michael Blackmon?

The phone number listed for the practice location is (762) 538-2095.

Where is Michael Blackmon located?

705 Red Bud Rd NE Ste a, Calhoun, GA 30701-1966.

What is the taxonomy code for Michael 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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