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Adrien Blackmon, D.A.

NPI 1770909707ActiveIndividual· Dental Assistant· Canton, GA

Dental Assistant (D.A.) in Canton, Georgia, with an NPI issued in March 2014.

Overview

NPI1770909707
StatusActive
Entity typeIndividual
CredentialD.A.
Sole proprietorNo
NPI issuedMar 14, 2014
Last updated in NPPESMar 14, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Dental Assistant Primary126800000X—GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years