Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STACY L BLACKMON, DDS
ActiveDR. STACY L BLACKMON, DDS is a Dentist healthcare provider located in LAKE WYLIE, South Carolina. NPI 1043334766 is currently active in the NPPES registry. Verify at CMS.
Dentist · LAKE WYLIE, SC
Registration Details
- NPI Number
- 1043334766
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 19, 2007 (19.370181761979 yrs)
- Last Updated
- Jul 8, 2007
- License
-
3673 (SC)
Practice Information
- Address
-
1100 VILLAGE HARBOR DRLAKE WYLIE FAMILY DENTISTRY PALAKE WYLIE, SC, 29710Browse SC providers · Browse ZIP 29710
- Phone
- 8038318856
- Fax
- 8038318966
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in LAKE WYLIE, SC
| Name | Credential | NPI |
|---|---|---|
| DR. CHRISTOPHER ANDREW SNELL | D.D.S. | 1427167311 |
| DR. THOMAS N STALL SR. | DMD | 1124158472 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.