AMANDA MARIE BLACKMON DMD
NPI 1184937591
Dentist - General Practice in Kokomo, IN

Active since July 15, 2010
2124 E BOULEVARD, KOKOMO, IN 46902(765) 454-9700(765) 454-9771 Get Directions Write a Review

NPPES record last updated: July 15, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amanda Marie Blackmon Dmd NPPES

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

AMANDA MARIE BLACKMON DMD (NPI 1184937591) is an individual general practice provider in Kokomo, Indiana, licensed in Indiana (12011504A) and active in the NPI registry since July 2010.

NPPES Registry Identity

NPI1184937591
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameAMANDA MARIE BLACKMONCredential: DMD
Location Address2124 E BOULEVARDKokomo, IN 46902-2401
Mailing AddressPo Box 3189Syracuse, NY 13220-3189 · (866) 273-8204 · Fax (866) 803-4943
Fax(765) 454-9771
Sole ProprietorNo
Enumeration DateJuly 15, 2010
NPI 1184937591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IN · 12011504A
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.
2124 E BOULEVARD, Kokomo, IN 46902

Accepted Insurance

Other Providers at the Same Location NPPES 6

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

Dentist (General Practice)
2124 E BOULEVARD
KOKOMO, IN 46902
Dentist
2124 E BOULEVARD
KOKOMO, IN 46902
Dentist (General Practice)
2124 E BOULEVARD
KOKOMO, IN 46902
Dentist
2124 E BOULEVARD
KOKOMO, IN 46902
Dentist (General Practice)
2124 E BOULEVARD
KOKOMO, IN 46902
Dentist
2124 E BOULEVARD
KOKOMO, IN 46902

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 Amanda Blackmon's NPI number?

The NPI number for Amanda Blackmon is 1184937591. It was assigned to this individual provider in the NPPES registry on July 15, 2010.

Where is Amanda Blackmon located?

Amanda Blackmon practices at 2124 E Boulevard, Kokomo, IN 46902. The listed phone number is (765) 454-9700.

What is Amanda Blackmon's specialty?

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

What insurance does Amanda Blackmon accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Amanda 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 Amanda Blackmon was last updated on July 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.