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.
| Name: | Burch Lee Blackstock |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | D.D.S |
| Accepts Medicare Assignment: | No |
| Practice Address: | 12110 Woodside Ave, Lakeside,
California, 92040-3012 |
| Phone: | 619-443-0444 |
| Fax: | 619-443-0050 |
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 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 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.
Comments/ Reviews:
Read all the reviews posted for Burch Lee Blackstock below. You may also share your own experience with Burch Lee Blackstock. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.