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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.