Smiles By Dr. Blackmon is a Dental Clinic in Shaker Heights, Ohio. It is located at 20119 Van Aken Blvd Ste 211, Shaker Heights, OH and its contact number is 216-848-1420. The authorized person for Smiles By Dr. Blackmon is Dr. Lisa Denise Blackmon
who is Owner/dentist of the clinic and their contact number is 216-848-1420. The primary license number for Smiles By Dr. Blackmon is 30-020813 (General Practice) in Ohio.
Smiles By Dr. Blackmon 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:
Smiles By Dr. Blackmon Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Smiles By Dr. Blackmon |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 20119 Van Aken Blvd Ste 211, Shaker Heights,
Ohio, 44122-3636 |
| Phone: | 216-848-1420 |
| Fax: | 216-848-1400 |
Authorized/Official Person Profile:
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: | Dr. Lisa Denise Blackmon |
| Position: | Owner/dentist |
| Contact Number: | 216-848-1420 |
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 Smiles By Dr. Blackmon clinic are as mentioned below.
| NPI Number: | 1306260401 |
| NPI Enumeration Date: | 10 Feb, 2014 |
| NPI Last Update On: | 10 Feb, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Smiles By Dr. Blackmon are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 30-020813 | Ohio | 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 |
| 2066580 | Medicaid | Ohio | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Smiles By Dr. Blackmon
20119 Van Aken Blvd Ste 211,
Shaker Heights, Ohio |
| Zip: | 44122-3636 |
| Phone Number: | 216-848-1420 |
| Fax Number: | 216-848-1400 |
Patients can reach Smiles By Dr. Blackmon at
20119 Van Aken Blvd Ste 211, Shaker Heights, Ohio or can
call to book an appointment on 216-848-1420.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 February, 2026.