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

Dr. Kenneth Allen Blackmon Jr., DMD

Individual provider General Practice Dentistry · NPI 1215055041

Dr. Kenneth Allen Blackmon Jr., DMD is a General Practice Dentistry in Troy, Alabama. Practices as a sole proprietor. Licensed in Alabama.

Licensed in
AL
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

815 S Brundidge St
Troy, AL 36081-3219
Phone: (334) 566-8266
Fax: (334) 566-7850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 4419CF (AL)

Record details

NPI number1215055041
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedMarch 27, 2007
Last updated in NPPESMarch 13, 2023
Certification dateMarch 13, 2023

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