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Dr. Keith A. Blackmon, D.D.S.

General Practice Dentistry in Dothan, AL · enumerated 2006 · practices at Family Dental Care of Dothan, PC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629017744

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Registry record

Entity type Individual (Type 1)
Name Dr. Keith A. Blackmon
Credential D.D.S.
Sex Male
Practice address 107 Professional Ln, Dothan, AL, 36303
Fax (334) 678-8157
Enumeration date Jun 5, 2006
Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

1223G0001X General Practice Dentistry Dental Providers · License 4491 (AL) Primary
DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

Other identifiers

Identifier Type State Issuer
51502435 Other AL BCBS OF AL

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Keith Blackmon?
The National Provider Identifier (NPI) for Keith Blackmon is 1629017744, a Type 1 (individual) record in the CMS NPPES registry.
Where does Keith Blackmon practice?
The practice location on file with NPPES is in Dothan, AL. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.