Family Dental Care of Dothan, PC

NPI #1124103288 in Dothan, Alabama

Provider Information

NPI Number: 1124103288
Entity Type: Organization
Organization Name: Family Dental Care of Dothan, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 26, 2006
Last Updated: Aug 18, 2011

Practice Location

Address: 107 PROFESSIONAL LN
City: Dothan
State: Alabama
ZIP Code: 36303-3875
Phone: (334) 792-5711

Authorized Official

Name: DR. KEITH A BLACKMON, D.D.S.
Title: OWNER
Phone: (334) 792-5711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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