Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215055041 Individual Practitioner Male Practitioner

Dr. Kenneth Allen Blackmon , DMD

Dentist - General Practice • Troy, AL

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Blackmon, DMD is a registered healthcare professional specializing in Dentist - General Practice in Troy, AL. Practice services are available at 815 S BRUNDIDGE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

815 S Brundidge St

Troy, AL 360813219

Telephone 3345668266
Fax 3345667850
Associated Practice Facility / Clinic
🏢 Oak Park Dental Llc Facility NPI 1134774219

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Troy, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.4 Yrs
Regional Practice Density
7 Specialists

Practicing in Troy, AL (1455 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-03-13
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AL 4419CF

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 815 S BRUNDIDGE ST, TROY, AL 360813219 (Tel: 3345668266)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 248, TROY, AL 360810248 (Tel: 3345668266)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH BLACKMON, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #4419CF in AL)

🟢
Initial NPI Registration & Enumeration March 27, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215055041
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 27, 2007
Last Update: March 13, 2023
Sole Proprietor: Yes

Mailing Address

Po Box 248

Troy, AL 360810248

Phone: 3345668266

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.