NPI age
12 years
Enumerated 2014-03-14
● Active
Type 1 · Individual
Adrien Blackmon, D.A.
Blackmon is 1 of 1 dental assistant providers in Canton and 1 of 91 in Georgia.
Primary specialty
Dental Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-03-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 91 active dental assistant providers in Georgia.
NPI age
12 years
↑ 3 yr above median (9 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
3% of peers hold subspecialties
NPI lifetime · 2014 → 2026
2014-03Enumerated in NPPES
2014
2026
Where they practice
Practice location
12420 Cumming Hwy, Ste 306
Canton, GA 301157568
Mailing address
138 Brookwood Trl
Waleska, GA 301833175
Specialties
-
Dental Assistant PrimaryAn individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient...
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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