SMILES BY DR. BLACKMON NPI 1306260401

NPI Information

SMILES BY DR. BLACKMON is a general practice dentist in Shaker Heights, OH. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SMILES BY DR. BLACKMON NPI is 1306260401. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

20119 VAN AKEN BLVD STE 211
SHAKER HEIGHTS, OH
ZIP 44122-636
Phone: (216) 848-1420
Fax: (216) 848-1400

The provider's authorized official is Lisa Denise Blackmon .
The authorized official title is Owner/dentist and has the following contact phone number (216) 848-1420.

The enumeration date for this NPI number is 2/10/2014 and was last updated on 2/10/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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