Blackstockdentalcorp is a Dental Clinic in Lakeside, California. It is located at 12110 Woodside Ave, Lakeside, CA and its contact number is 619-443-0444. The authorized person for Blackstockdentalcorp is Burch Lee Blackstock
who is Dentist of the clinic and their contact number is 619-443-0444. The primary license number for Blackstockdentalcorp is 42123 (General Practice) in California. Blackstockdentalcorp Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Blackstockdentalcorp Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Burch Lee Blackstock
Position:
Dentist
Contact Number:
619-443-0444
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Blackstockdentalcorp clinic are as mentioned below.
NPI Number:
1417168881
NPI Enumeration Date:
25 May, 2007
NPI Last Update On:
10 Feb, 2016
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Blackstockdentalcorp are as mentioned below.
Specialization
License Number
State
Status
General Practice
42123
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
42123
Other
California
Dental Board
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Blackstockdentalcorp 12110 Woodside Ave., Lakeside, California
Zip:
92040-3012
Phone Number:
619-443-0444
Fax Number:
619-443-0050
Patients can reach Blackstockdentalcorp at 12110 Woodside Ave, Lakeside, California or can call to book an appointment on 619-443-0444. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.