DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BURCH LEE BLACKSTOCK, D.D.S

Active

BURCH LEE BLACKSTOCK, D.D.S is a General Dentistry healthcare provider located in LAKESIDE, California. NPI 1144387234 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · LAKESIDE, CA

Registration Details

NPI Number
1144387234
Provider Type
Individual
Gender
Male
NPI Issued
Jan 2, 2007 (19.628757907771 yrs)
Last Updated
Apr 17, 2014
License
42123 (CA)

Practice Information

Address
12110 WOODSIDE AVE
LAKESIDE, CA, 920403012
Browse CA providers · Browse ZIP 92040
Phone
6194430444
Fax
6194430050
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in LAKESIDE, CA

Name Credential NPI
DR. JOHN E. KRAMER D.D.S. 1891709945
DR. ARNOLD IRVING CUTLER DDS 1265528947
DR. DAVID ROBERT RUSSELL DDS 1386730018
DR. DIANA LAREE CLUFF DMD 1043704489
STEPHANIE ANN CLUFF DMD 1780250688
DR. CESAR AYALA DDS 1194419390
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.