Search › Alabama › General Practice Dentistry
Keith Blackmon, D.D.S
NPI 1629017744 · on the registry since 2006
Practice
- Address
- 107 Professional Ln
Dothan, AL 36303 - Phone
- (334) 792-5711
- Fax
- (334) 678-8157
- Organisation at this address
- Family Dental Care Of Dothan, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- AL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama