DR. Kenneth Allen Blackmon JR., D.M.D.

NPI #1215055041 in Troy, Alabama

Provider Information

NPI Number
1215055041
Entity Type
Individual
Name
DR. Kenneth Allen Blackmon JR., D.M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.M.D.
Enumeration Date
Mar 27, 2007
Last Updated
Mar 13, 2023

Practice Location

Address
815 S BRUNDIDGE ST
City
Troy
State
Alabama
ZIP Code
36081-3219
Phone
(334) 566-8266

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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