Individual provider · Type 1 NPI

Kenneth Allen Blackmon Jr., DMD

General Practice Dentistry · Troy, AL

NPI number 1215055041 Active

Practice location

815 S Brundidge St
Troy, AL 36081-3219

Fax (334) 566-7850

Mailing address

PO Box 248
Troy, AL 36081-0248

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X4419CF (AL)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1215055041

Kenneth Allen Blackmon Jr., DMD's National Provider Identifier is 1215055041, issued on Mar 27, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Troy, AL. The record was last updated on Mar 13, 2023.