ADRIEN BLACKMON D.A.
NPI 1770909707
Dental Assistant in Canton, GA

Active since March 14, 2014
12420 CUMMING HWY, STE 306, CANTON, GA 30115(678) 947-3600 Get Directions Write a Review

NPPES record last updated: March 14, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Adrien Blackmon D.a. NPPES

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

ADRIEN BLACKMON D.A. (NPI 1770909707) is an individual dental assistant in Canton, Georgia and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1770909707
Entity TypeIndividualFemale
Primary Taxonomy126800000X
Provider Legal NameADRIEN BLACKMONCredential: D.A.
Location Address12420 CUMMING HWY, STE 306Canton, GA 30115-7568
Mailing Address138 Brookwood TrlWaleska, GA 30183-3175 · (404) 735-2030
Sole ProprietorNo
Enumeration DateMarch 14, 2014
NPI 1770909707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDental AssistantDental Providers
Taxonomy Code126800000X
Definition
An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.
12420 CUMMING HWY, Canton, GA 30115

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.

Dentist (Pediatric Dentistry)
12420 CUMMING HWY, STE 306
CANTON, GA 30115
Dentist (Orthodontics and Dentofacial Orthopedics)
12420 CUMMING HWY, STE 306
CANTON, GA 30115

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 Adrien Blackmon's NPI number?

The NPI number for Adrien Blackmon is 1770909707. It was assigned to this individual provider in the NPPES registry on March 14, 2014.

Where is Adrien Blackmon located?

Adrien Blackmon practices at 12420 Cumming Hwy Ste 306, Canton, GA 30115. The listed phone number is (678) 947-3600.

What is Adrien Blackmon's specialty?

The primary specialty registered for this NPI is Dental Assistant with taxonomy code 126800000X.

When was this NPI record last updated?

The NPPES record for Adrien Blackmon was last updated on March 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.