Dr. Lisa Denise Blackmon is a Shaker Heights, Ohio based Dentist who is specialized in Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Lisa Denise Blackmon is 20813 for Dentistry in Ohio. Her current practice location is 3729 Lee Road, Shaker Heights Dental Express, Shaker Heights. Patients can reach her at 216-751-9922.
Dr. Lisa Denise Blackmon is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Lisa Denise Blackmon 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:
Dr. Lisa Denise Blackmon
Specialization:
Dentist
Gender:
Female
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
3729 Lee Road, Shaker Heights Dental Express, Shaker Heights, Ohio, 44120
Phone:
216-751-9922
Fax:
216-752-0870
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:
1235205527
NPI Enumeration Date:
28 Nov, 2006
NPI Last Update On:
26 Oct, 2009
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Lisa Denise Blackmon are as mentioned below.
License Number
Specialization
State
Status
20813
Dentistry
Ohio
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Lisa Denise Blackmon 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:
3729 Lee Road, Shaker Heights Dental Express Shaker Heights, Ohio
Zip:
44120
Phone Number:
216-751-9922
Fax Number:
216-752-0870
Patients can reach Dr. Lisa Denise Blackmon at 3729 Lee Road, Shaker Heights Dental Express, Shaker Heights, Ohio or can call to book an appointment on 216-751-9922. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.