SMILES BY DR. BLACKMON
NPI 1306260401
Dentist - General Practice in Shaker Heights, OH

Q: What is Smiles By Dr. Blackmon's NPI number?

The NPI number for Smiles By Dr. Blackmon is 1306260401. It was assigned to this organization in the NPPES registry on February 10, 2014.

Q: What is Smiles By Dr. Blackmon's specialty?

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

Active since February 10, 2014

20119 VAN AKEN BLVD STE 211, SHAKER HEIGHTS, OH 44122(216) 848-1420(216) 848-1400 Get Directions Write a Review

NPPES record last updated: February 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Smiles By Dr. Blackmon NPPES

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

SMILES BY DR. BLACKMON (NPI 1306260401) is a healthcare organization registered as a general practice in Shaker Heights, Ohio and active in the NPI registry since February 2014. The organization lists Lisa Denise Blackmon, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1306260401

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameSMILES BY DR. BLACKMON

Location Address20119 VAN AKEN BLVD STE 211Shaker Heights, OH 44122-3636

Mailing Address20119 Van Aken Blvd Ste 211Shaker Heights, OH 44122-3636 · (216) 848-1420 · Fax (216) 848-1400

Phone(216) 848-1420

Fax(216) 848-1400

Organization SubpartNo

Authorized OfficialLisa Denise BlackmonOwner/dentist · (216) 848-1420

Enumeration DateFebruary 10, 2014

✔ NPI 1306260401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OH · 30-020813

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.

20119 VAN AKEN BLVD STE 211, Shaker Heights, OH 44122

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Other Identifiers 1

Medicaid2066580OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Smiles By Dr. Blackmon's NPI number?

The NPI number for Smiles By Dr. Blackmon is 1306260401. It was assigned to this organization in the NPPES registry on February 10, 2014.

Where is Smiles By Dr. Blackmon located?

Smiles By Dr. Blackmon is located at 20119 Van Aken Blvd Ste 211, Shaker Heights, OH 44122. The listed phone number is (216) 848-1420.

What is Smiles By Dr. Blackmon's specialty?

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

When was this NPI record last updated?

The NPPES record for Smiles By Dr. Blackmon was last updated on February 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.