SearchGeorgiaDental Assistant

Adrien Blackmon, D.A

NPI 1770909707 · on the registry since 2014

Practice

Address
12420 Cumming Hwy
Ste 306
Canton, GA 30115
Phone
(678) 947-3600
Clinicians at this address
3

Registry record

Primary taxonomy
Dental Assistant
126800000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-03-14

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 Georgia