Burch Lee Blackstock is a Lakeside, California based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Burch Lee Blackstock is 42123 for General Practice Dentistry in California. His current practice location is 12110 Woodside Ave, Lakeside. Patients can reach him at 619-443-0444.
Burch Lee Blackstock is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Burch Lee Blackstock speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
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 are as mentioned below.
NPI Number:
1144387234
NPI Enumeration Date:
02 Jan, 2007
NPI Last Update On:
17 Apr, 2014
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Burch Lee Blackstock are as mentioned below.
License Number
Specialization
State
Status
42123
General Practice Dentistry
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Burch Lee Blackstock 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:
12110 Woodside Ave, Lakeside, California
Zip:
92040-3012
Phone Number:
619-443-0444
Fax Number:
619-443-0050
Patients can reach Burch Lee Blackstock 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.