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DR. KEITH A. BLACKMON D.D.S.
NPI 1629017744
Dentist - General Practice in Dothan, AL

Active since June 05, 2006
107 PROFESSIONAL LN, DOTHAN, AL 36303(334) 792-5711(334) 678-8157 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Keith A. Blackmon D.d.s. NPPES

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

DR. KEITH A. BLACKMON D.D.S. (NPI 1629017744) is an individual general practice provider in Dothan, Alabama, licensed in Alabama (4491) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1629017744
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KEITH A. BLACKMONCredential: D.D.S.
Location Address107 PROFESSIONAL LNDothan, AL 36303-3875
Mailing Address107 Professional LnDothan, AL 36303-3875 · (334) 792-5711 · Fax (334) 678-8157
Phone(334) 792-5711
Fax(334) 678-8157
Sole ProprietorNo
Enumeration DateJune 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1629017744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AL · 4491
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.
107 PROFESSIONAL LN, Dothan, AL 36303
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Other Identifiers 2

Medicare UPIN05342
Other51502435AL · Bcbs Of Al

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Delta Dental PPO, Humana.Insurance ›

Other Providers at the Same Location NPPES 3

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

FAMILY DENTAL CARE OF DOTHAN, PC
Dentist (General Practice)
107 PROFESSIONAL LN
DOTHAN, AL 36303
Houston County (334) 792-5711
CALLIE GILBERT-HYMA DMD
Dentist
107 PROFESSIONAL LN
DOTHAN, AL 36303
Houston County (334) 596-9799
DR. BRANDON SNELL D.M.D.
Dentist (General Practice)
107 PROFESSIONAL LN
DOTHAN, AL 36303
Houston County (334) 792-5711

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 Keith Blackmon's NPI number?

The NPI number for Keith Blackmon is 1629017744. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Keith Blackmon located?

Keith Blackmon practices at 107 Professional Ln, Dothan, AL 36303. The listed phone number is (334) 792-5711.

What is Keith Blackmon's specialty?

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

What insurance does Keith Blackmon accept?

Health plans from Blue Cross and Blue Shield of Alabama, Delta Dental PPO and Humana list Keith 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 Keith Blackmon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.