person
Dr. Keith A. Blackmon, DDS
General Practice Dentistry in Dothan, Alabama
NPI 1629017744

Keith A. Blackmon is a General Practice Dentistry based in Dothan, AL and is specialized in General Practice. Keith A. Blackmon practices in Dothan, AL and has the professional credentials of DDS. The NPI Number for Keith A. Blackmon is 1629017744 and holds a License No. 4491 (Alabama).

The current practice location address for Keith A. Blackmon is 107 Professional Ln, Dothan, AL and can be reached out via phone at 334-792-5711 and via fax at 334-678-8157.

Location: 107 Professional Ln, Dothan, AL, 36303-3875
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Provider Profile Details
NPI Number
1629017744
Provider Name
Keith A. Blackmon
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
107 Professional Ln, Dothan, AL, 36303-3875
Phone Number
334-792-5711
Fax Number
334-678-8157
Provider Enumeration Date
06/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
51502435 01 AL BCBS OF AL
institution
Provider Business Practice Location Address Details
Address
107 Professional Ln
City
State
Zip
36303-3875
Phone Number
334-792-5711
Fax Number
334-678-8157
person
Provider Business Mailing Address Details
Address
107 Professional Ln
City
State
Zip
36303-3875
Phone Number
334-792-5711
Fax Number
334-678-8157
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
4491 (Alabama)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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