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NPI 1770909707

IndividualActive

Adrien Blackmon, D.A.

NPI 1770909707 · Dental Assistant · Canton, GA

Provider details

NPI number: 1770909707
Entity type: Individual
Primary specialty: Dental AssistantDental Providers
Credential: D.A.
Sex: Female
Sole proprietor: No

Practice location

12420 Cumming Hwy

Ste 306

Canton, GA 30115-7568

Phone: (678) 947-3600

More GA providers

Mailing address

138 Brookwood Trl

Waleska, GA 30183-3175

Registry dates

Enumerated: 2014-03-14
Last updated: 2014-03-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Adrien Blackmon, D.A. — NPI 1770909707, Canton, GA | NPI Central