Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. HARRY BLACKMON JR. DMD
NPI 1154306751
Dentist - General Practice in Bennettsville, SC

Q: What is Harry Blackmon's NPI number?

The NPI number for Harry Blackmon is 1154306751. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Q: What is Harry Blackmon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: Is Harry Blackmon enrolled in Medicare?

No. Harry Blackmon has opted out of Medicare through June 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Harry Blackmon was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 07, 2005Opted out of Medicare · through Jun 3, 2028

500 E MAIN ST, BENNETTSVILLE, SC 29512(843) 479-4085(843) 479-8991 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Dr. Harry Blackmon Jr. Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HARRY BLACKMON JR. DMD (NPI 1154306751) is an individual general practice provider in Bennettsville, South Carolina, licensed in South Carolina (2392) and active in the NPI registry since December 2005. He has opted out of Medicare through June 3, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1154306751

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. HARRY BLACKMON JR.Credential: DMD

Location Address500 E MAIN STBennettsville, SC 29512-3210

Mailing Address500 E Main StBennettsville, SC 29512-3210 · (843) 479-4085 · Fax (843) 479-8991

Phone(843) 479-4085

Fax(843) 479-8991

Sole ProprietorNo

Enumeration DateDecember 7, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1154306751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in SC · 2392

Definition

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.

500 E MAIN ST, Bennettsville, SC 29512

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Other Identifiers 1

Medicaid002392SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Harry Blackmon Jr. Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 3, 2016 through June 3, 2028.

Opt-Out Effective DateJune 3, 2016

Opt-Out In Effect ThroughJune 3, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29512 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHARU CLIFFORD DDS

Dentist (General Practice)

500 E MAIN ST
BENNETTSVILLE, SC 29512

Marlboro County (843) 479-4781

MARLBORO FAMILY DENTISTRY ASSOCIATES LLC

Dentist (General Practice)

500 E MAIN ST
BENNETTSVILLE, SC 29512

Marlboro County (843) 479-4781

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Harry Blackmon's NPI number?

The NPI number for Harry Blackmon is 1154306751. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is Harry Blackmon located?

Harry Blackmon practices at 500 E Main St, Bennettsville, SC 29512. The listed phone number is (843) 479-4085.

What is Harry Blackmon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Harry Blackmon enrolled in Medicare?

No. Harry Blackmon has opted out of Medicare through June 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Harry Blackmon accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Harry Blackmon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Harry Blackmon was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.