Dr. Keith A. Blackmon is a Dothan, Alabama based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Keith A. Blackmon is
4491 for General Practice Dentistry in Alabama. His current practice location is
107 Professional Ln, Dothan. Patients can reach him at
334-792-5711.
Dr. Keith A. Blackmon is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Keith A. 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: | Dr. Keith A. Blackmon |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | D.D.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 107 Professional Ln, Dothan,
Alabama, 36303-3875 |
| Phone: | 334-792-5711 |
| Fax: | 334-678-8157 |
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: | 1629017744 |
| NPI Enumeration Date: | 05 Jun, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Keith A. Blackmon are as mentioned below.
| License Number | Specialization | State | Status | |
| 4491 | General Practice Dentistry | Alabama | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Keith A. Blackmon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 51502435 | Other | Alabama | BCBS OF AL |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 107 Professional Ln,
Dothan, Alabama |
| Zip: | 36303-3875 |
| Phone Number: | 334-792-5711 |
| Fax Number: | 334-678-8157 |
Patients can reach Dr. Keith A. Blackmon at
107 Professional Ln, Dothan, Alabama or can
call to book an appointment on 334-792-5711.
Comments/ Reviews:
Read all the reviews posted for Dr. Keith A. Blackmon below. You may also share your own experience with Dr. Keith A. Blackmon. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.