Alonzo Blackmon, D.D.S, M.S

NPI 1821422908 · on the registry since 2013

Practice

Address: 153 Fort Wade Rd Ste 100
Ponte Vedra, FL 32081
Phone: (904) 395-5501
Organisation at this address: Guided Smiles Prosthodontics & Implant Center Pllc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 1223P0700X
1223P0700X
Also registered as: 122300000X
Licence states on file: VA, FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-08-17

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 Florida