DR. Keith A. Blackmon, D.D.S.

NPI #1629017744 in Dothan, Alabama

Provider Information

NPI Number: 1629017744
Entity Type: Individual
Name: DR. Keith A. Blackmon, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jun 5, 2006
Last Updated: Jul 8, 2007

Practice Location

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

Specialties & Taxonomy Codes

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

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