Dr. Lisa Denise Blackmon
DDS | Dentist
3729 Lee Road, Shaker Heights Dental Express, Shaker Heights
Ohio, 44120
216-751-9922 216-752-0870
Maps & DirectionsDr. 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 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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.