DR. Michael Martin Blackmon, DR DDS

NPI #1962575290 in Calhoun, Georgia

Provider Information

NPI Number: 1962575290
Entity Type: Individual
Name: DR. Michael Martin Blackmon, DR DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DR DDS
Enumeration Date: Nov 16, 2006
Last Updated: Aug 17, 2022

Practice Location

Address: 705 RED BUD RD NE STE A
City: Calhoun
State: Georgia
ZIP Code: 30701-1966
Phone: (762) 538-2095

Specialties & Taxonomy Codes

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

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