DR. STACY L BLACKMON DDS
NPI 1043334766
Dentist in Lake Wylie, SC
About Dr. Stacy L Blackmon Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. STACY L BLACKMON DDS (NPI 1043334766) is an individual dentist in Lake Wylie, South Carolina, licensed in South Carolina (3673) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Stacy L Blackmon Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29710 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAKE WYLIE, SC 29710
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Stacy Blackmon's NPI number?
The NPI number for Stacy Blackmon is 1043334766. It was assigned to this individual provider in the NPPES registry on March 19, 2007.
Where is Stacy Blackmon located?
Stacy Blackmon practices at 1100 Village Harbor Dr Lake Wylie Family Dentistry PA, Lake Wylie, SC 29710. The listed phone number is (803) 831-8856.
What is Stacy Blackmon's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Stacy Blackmon enrolled in Medicare?
Yes. Stacy Blackmon is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Stacy Blackmon was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.
