Amanda Marie Blackmon, DMD

NPI #1184937591 in Kokomo, Indiana

Provider Information

NPI Number: 1184937591
Entity Type: Individual
Name: Amanda Marie Blackmon, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jul 15, 2010
Last Updated: Jul 15, 2010

Practice Location

Address: 2124 E BOULEVARD
City: Kokomo
State: Indiana
ZIP Code: 46902-2401
Phone: (765) 454-9700

Specialties & Taxonomy Codes

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

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