Individual provider · Type 1 NPI

Keith A. Blackmon, DDS

General Practice Dentistry · Dothan, AL

NPI number 1629017744 Active

About NPI 1629017744

Keith A. Blackmon, DDS's National Provider Identifier is 1629017744, issued on Jun 5, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Dothan, AL. The record was last updated on Jul 8, 2007.