Lisa Blackmon, DDS

NPI 1235205527 · on the registry since 2006 · sole proprietor

Practice

Address: 3729 Lee Road
Shaker Heights Dental Express
Shaker Heights, OH 44120
Phone: (216) 751-9922
Fax: (216) 752-0870
Organisation at this address: Professional Dental Alliance
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-10-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio