Amanda Marie Blackmon is a Kokomo, Indiana based Dentist who is specialized in
General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Amanda Marie Blackmon is
12011504A for General Practice Dentistry in Indiana. Her current practice location is
2124 E Boulevard, Kokomo. Patients can reach her at
765-454-9700.
Amanda Marie Blackmon is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Amanda Marie Blackmon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Amanda Marie Blackmon |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 2124 E Boulevard, Kokomo,
Indiana, 46902-2401 |
| Phone: | 765-454-9700 |
| Fax: | 765-454-9771 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1184937591 |
| NPI Enumeration Date: | 15 Jul, 2010 |
| NPI Last Update On: | 15 Jul, 2010 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Amanda Marie Blackmon are as mentioned below.
| License Number | Specialization | State | Status | |
| 12011504A | General Practice Dentistry | Indiana | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 3189,
Syracuse, New York |
| Zip: | 13220-3189 |
| Phone Number: | 866-273-8204 |
| Fax Number: | 866-803-4943 |
Patients can reach Amanda Marie Blackmon at
2124 E Boulevard, Kokomo, Indiana or can
call to book an appointment on 765-454-9700.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.