DR. MICHAEL MARTIN BLACKMON (NPI# 1962575290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962575290 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL MARTIN BLACKMON |
| Credential | DR DDS |
| Practice Address |
160 Three Rivers Dr Suite 100 Rome GA 30161 |
| Practice Telephone | 7062907770 |
| Practice Fax Number | 7022907772 |
| Mailing Telephone | 7062907770 |
| Mailing Fax Number | 7022907772 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN011797 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043202849 | Michael Bendele Blackmon | Internal Medicine | 6124 W Parker Rd, Suite 530, Plano, TX 75093-8122 | 2005-08-17 |
| Street Address |
160 THREE RIVERS DR SUITE 100 |
| City | ROME |
| State | GA |
| Zip Code | 30161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265069256 | Three Rivers Housing and Development Corporation | Chore Provider | 326 W. 9th St, Rome, GA 30161 | 2020-03-27 |
| 1144865957 | Eric Alan Fuller | Audiologist-Hearing Aid Fitter | 700 East 2nd Street, Suite C, Rome, GA 30161 | 2019-11-15 |
| 1003394883 | Cindy V Shelton | Health Educator | 204 E 1st Ave, Rome, GA 30161 | 2018-08-02 |
| 1083153597 | Julie Oglesby Allen | Counselor | 1 S Broad St Sw Ste 5, Rome, GA 30161 | 2017-02-16 |
| 1902299530 | Michael Thomas Phillips | Pharmacist | 2005 Maple Street, Rome, GA 30161 | 2015-03-06 |
| 1407259112 | Angela Smith | Community/Behavioral Health | 109 John Maddox Suite 200, Rome, GA 30161 | 2014-10-08 |
| 1215344379 | Nancy Patel | Pharmacist | 1421 North Broad St, Rome, GA 30161 | 2014-07-21 |
| 1821336629 | Wendy Pence | Nurse Practitioner | 3001 Turner Mccall Blvd, Rome, GA 30161 | 2013-01-29 |
| 1558526202 | Marilyn Teresa Ringstaff | Registered Nurse | 1513 Dean St., Rome, GA 30161 | 2008-07-22 |
| 1134310147 | Reneka L Dobbs-jackson | Family Medicine | 420 E 2nd Ave Ste 103, Rome, GA 30161 | 2007-08-05 |
| Find all providers in zip 30161 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478389 | Damion A Myers Dds Pllc | Dentist | 103 W Dominick St Ste 20, Rome, NY 13440-5809 | 2020-08-21 |
| 1437661253 | Ansana I LLC | Dentist | 136 Shorter Ave Nw, Rome, GA 30165-2455 | 2017-11-02 |
| 1497002430 | Mh Dental P.C. | Dentist | 33 Riverbend Dr Sw, Rome, GA 30161-6065 | 2012-08-09 |
| 1710200514 | High Point Dental Group | Dentist | 46 S. Weber Rd, Rome, IL 60446 | 2010-03-08 |
| 1275726705 | George James Bauries II | Dentist | 800 Black River Blvd., Rome, NY 13440 | 2007-08-17 |
| 1407067044 | Frank Carmen Mazzaferro | Dentist | 610 N George St, Rome, NY 13440-4130 | 2007-05-25 |
| 1891902474 | Jeffrey Scott Heath | Dentist | 302 Redmond Rd Nw, Rome, GA 30165-1540 | 2007-05-16 |
| 1336363134 | Scott C. Parmiter | Dentist | 1801 J L Todd Dr, Rome, GA 30161-5012 | 2007-04-12 |
| 1871612937 | John Anthony Kobylanski | Dentist | 207 N George St, Rome, NY 13440-5703 | 2007-03-28 |
| 1821134529 | Mark Steven Tardugno | Dentist | 702 N Washington Street, Rome, NY 13440 | 2007-01-29 |
| Find all providers in ROME | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.