Dr. Stacy L Blackmon is a Lake Wylie, South Carolina based Dentist who is specialized in Dentistry. She may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Her current practice location is 1100 Village Harbor Dr, Lake Wylie Family Dentistry Pa, Lake Wylie. Patients can reach her at 803-831-8856.
Dr. Stacy L 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. Stacy L 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. Stacy L Blackmon
Specialization:
Dentist
Gender:
Female
Credentials:
DDS
Accepts Medicare Assignment:
May Accept
Practice Address:
1100 Village Harbor Dr, Lake Wylie Family Dentistry Pa, Lake Wylie, South Carolina, 29710
Phone:
803-831-8856
Fax:
803-831-8966
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.
PAC ID:
6406168251
Enrollment ID:
I20150707003305
NPI Number:
1043334766
NPI Enumeration Date:
19 Mar, 2007
NPI Last Update On:
08 Jul, 2007
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1100 Village Harbor Dr, Lake Wylie, South Carolina
Zip:
29710
Phone Number:
803-831-8856
Fax Number:
803-831-8966
Patients can reach Dr. Stacy L Blackmon at 1100 Village Harbor Dr, Lake Wylie Family Dentistry Pa, Lake Wylie, South Carolina or can call to book an appointment on 803-831-8856. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.