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

DR. LISA DENISE BLACKMON, DDS

Active Sole Proprietor

DR. LISA DENISE BLACKMON, DDS is a Dentist healthcare provider located in SHAKER HEIGHTS, Ohio. NPI 1235205527 is currently active in the NPPES registry. Verify at CMS.

Dentist · SHAKER HEIGHTS, OH

Registration Details

NPI Number
1235205527
Provider Type
Individual
Gender
Female
NPI Issued
Nov 28, 2006 (19.69937395512 yrs)
Last Updated
Oct 26, 2009
License
20813 (OH)
Sole Proprietor
Yes

Practice Information

Address
3729 LEE ROAD
SHAKER HEIGHTS DENTAL EXPRESS
SHAKER HEIGHTS, OH, 44120
Browse OH providers · Browse ZIP 44120
Phone
2167519922
Fax
2167520870
Primary Specialty
Dentist
122300000X

Other Dentist Providers in SHAKER HEIGHTS, OH

Name Credential NPI
DR. MICHAEL B ZABELL DDS 1588705735
DR. RICHARD E. GIFT D.D.S. 1568503605
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.