Oak Park Dental LLC

NPI #1134774219 in Troy, Alabama

Provider Information

NPI Number
1134774219
Entity Type
Organization
Organization Name
Oak Park Dental LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 6, 2019
Last Updated
Mar 13, 2023

Practice Location

Address
98 OAK PARK DR
City
Troy
State
Alabama
ZIP Code
36079-3085
Phone
(334) 566-8266

Authorized Official

Name
DR. KENNETH ALLEN BLACKMON JR., DMD
Title
SOLE MEMBER
Phone
(334) 566-8266

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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