Keith Blackmon, D.D.S

ActiveIndividual ProviderDentistry
NPI issued: June 5, 2006

Quick Facts

NPI Number
1629017744
TypeIndividual
StatusActive
SpecialtyDentistry
Taxonomy1223G0001X — Dentistry
Phone
(334) 792-5711
StateAL

NPI Validation Status: Verified

Valid 10-digit NPI number (1629017744)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (June 5, 2006)
Data source: CMS NPPES

Provider Overview

KEITH BLACKMON, D.D.S is a Dentistry provider based in Dothan, AL who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1629017744
Provider TypeIndividual Provider
GenderMale
CredentialD.D.S
StatusActive
Enumeration DateJune 5, 2006

Practice Location

CityDothan
StateAL
ZIP Code36303-3875
Phone(334) 792-5711

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code1223G0001X
License StateAL

Mailing Address

CityDothan
StateAL
ZIP Code36303-3875
Phone(334) 792-5711
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1629017744 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1629017744for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1629017744 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

Specialists in Dentistry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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174,905
Dentistry Providers in the US

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People Also Ask

What is Keith Blackmon's NPI number?
Keith Blackmon's NPI number is 1629017744, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Keith Blackmon's NPI currently active?
Yes, Keith Blackmon's NPI status is Active as of the latest CMS NPPES database updates.
What does Keith Blackmon specialize in?
Keith Blackmon specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 1223G0001X.
Where does Keith Blackmon practice?
Keith Blackmon practices in Dothan, AL 36303-3875.
When was Keith Blackmon's NPI issued?
Keith Blackmon's NPI was issued on June 5, 2006.
What is Keith Blackmon's provider type?
Keith Blackmon is registered as an Individual Provider under CMS NPI Type 1.