Lisa Denise Blackmon in Shaker Heights - Dentist
Lisa Denise Blackmon - NPI 1235205527
Lisa Denise Blackmon is a Dentist in Shaker Heights, Ohio. Lisa Denise Blackmon practices all healthcare services and medical treatments related to Dentist. The NPI Number for Lisa Denise Blackmon is 1235205527. The last update date is 2009-10-26.
Lisa Denise Blackmon's current location address is 3729 Lee Road, Shaker Heights, Ohio. You can contact this provider via phone number 2167519922 and fax number 2167520870. The mailing address for Lisa Denise Blackmon is 3729 Lee Road, Shaker Heights, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Denise Blackmon |
|---|---|
| Address | 3729 Lee Road, Shaker Heights, Ohio |
| Phone Number | 2167519922 |
| Fax Number | 2167520870 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1235205527 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2009-10-26 |
Provider Mailing Address Detail
| Address | 3729 Lee Road |
|---|---|
| City | Shaker Heights |
| State | Ohio (OH) |
| Post Code | 44120 |
| Phone Number | 2167519922 |
| Fax Number | 2167520870 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 20813 |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2066580 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Lisa Denise Blackmon by the Centers for Medicare & Medicaid Services?
The Lisa Denise Blackmon has been assigned the NPI (National Provider Identifier) 1235205527. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Lisa Denise Blackmon's facilities are geographically located?
The facilities of Lisa Denise Blackmon are physically situated at the following location: 3729 Lee Road, Shaker Heights, OH, 44120.
What is Lisa Denise Blackmon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lisa Denise Blackmon is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1235205527 to Lisa Denise Blackmon?
The Lisa Denise Blackmon received its 1235205527 assignment from the Centers for Medicare & Medicaid Services on 2006-11-28.
When was the information related to Lisa Denise Blackmon most recently updated or refreshed?
The details pertaining to the Lisa Denise Blackmon, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-10-26.
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