Individual provider · Type 1 NPI

Stacy L. Blackmon, DDS

Dentist · Lake Wylie, SC

NPI number 1043334766 Active

Practice location

1100 Village Harbor Dr, Lake Wylie Family Dentistry Pa
Lake Wylie, SC 29710

Fax (803) 831-8966

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X3673 (SC)

Dentist: 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 requiremen…

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About NPI 1043334766

Stacy L. Blackmon, DDS's National Provider Identifier is 1043334766, issued on Mar 19, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Lake Wylie, SC. The record was last updated on Jul 8, 2007.