Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Adrien Blackmon, DA

Individual provider Dental Assistant · NPI 1770909707

Adrien Blackmon, DA is a Dental Assistant in Canton, Georgia. Licensed in Georgia. Registered with an NPI since 2014.

Licensed in
GA
In the registry since
2014

Practice location Address checks out

12420 Cumming Hwy Ste 306
Canton, GA 30115-7568
Phone: (678) 947-3600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X (GA)

Record details

NPI number1770909707
Entity typeIndividual (Type 1)
GenderFemale
Credentials DA
Sole proprietorNo
NPI enumeratedMarch 14, 2014
Last updated in NPPESMarch 14, 2014
Mailing address138 Brookwood Trl, Waleska, GA 30183-3175