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BURCH LEE BLACKSTOCK D.D.S
NPI 1144387234
Dentist - General Practice in Lakeside, CA

Active since January 02, 2007
12110 WOODSIDE AVE, LAKESIDE, CA 92040(619) 443-0444(619) 443-0050 Get Directions Write a Review

NPPES record last updated: April 17, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Burch Lee Blackstock D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BURCH LEE BLACKSTOCK D.D.S (NPI 1144387234) is an individual general practice provider in Lakeside, California, licensed in California (42123) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1144387234
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameBURCH LEE BLACKSTOCKCredential: D.D.S
Location Address12110 WOODSIDE AVELakeside, CA 92040-3012
Mailing Address12110 Woodside AveLakeside, CA 92040-3012 · (619) 443-0444 · Fax (619) 443-0050
Phone(619) 443-0444
Fax(619) 443-0050
Sole ProprietorNo
Enumeration DateJanuary 2, 2007
Last NPPES UpdateApril 17, 2014
✔ NPI 1144387234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 42123
Definition
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.
12110 WOODSIDE AVE, Lakeside, CA 92040
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Other Names 1

Other Name (5)Burch Lee Blackstock D.d.s.

Other Identifiers 1

Other42123CA · Dental Board

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CESAR AYALA DDS
Dentist (General Practice)
12110 WOODSIDE AVE
LAKESIDE, CA 92040
San Diego County (619) 334-8743
BLACKSTOCKDENTALCORP
Dentist (General Practice)
12110 WOODSIDE AVE
LAKESIDE, CA 92040
San Diego County (619) 443-0444
IVAN JONATHAN SANTOS DDS
Dentist
12110 WOODSIDE AVE
LAKESIDE, CA 92040
San Diego County (619) 443-0444
ARTHUR SANTOS DDS CORP
Clinic/Center (Dental)
12110 WOODSIDE AVE
LAKESIDE, CA 92040
San Diego County (619) 443-0444

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 Burch Blackstock's NPI number?

The NPI number for Burch Blackstock is 1144387234. It was assigned to this individual provider in the NPPES registry on January 2, 2007. The provider is also known as Burch Lee Blackstock D.D.S..

Where is Burch Blackstock located?

Burch Blackstock practices at 12110 Woodside Ave, Lakeside, CA 92040. The listed phone number is (619) 443-0444.

What is Burch Blackstock's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Burch Blackstock accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Burch Blackstock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Burch Blackstock was last updated on April 17, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.