| Dr Lisa Denise Blackmon, DDS | |
|
3729 Lee Road, Shaker Heights Dental Express, Shaker Heights, OH 44120 | |
| (216) 751-9922 | |
| (216) 752-0870 |
| Full Name | Dr Lisa Denise Blackmon |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 3729 Lee Road, Shaker Heights, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235205527 | NPI | - | NPPES |
| 2066580 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 20813 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa Denise Blackmon, DDS 3729 Lee Road, Shaker Heights Dental Express, Shaker Heights, OH 44120 Ph: (216) 751-9922 | Dr Lisa Denise Blackmon, DDS 3729 Lee Road, Shaker Heights Dental Express, Shaker Heights, OH 44120 Ph: (216) 751-9922 |
Dr. Robert Edward Schneider, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 20620 N Park Blvd, Suite 220, Shaker Heights, OH 44118 Phone: 216-321-2545 Fax: 216-321-2546 | |
Dr. Mark Komforti, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 16909 Chagrin Blvd, Shaker Heights, OH 44120 Phone: 216-862-0544 | |
Dr. Raushonda Antoinette Smith, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3733 Lee Rd, Shaker Heights, OH 44120 Phone: 216-561-7000 | |
Dr. Carol Toutant, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 20620 N Park Blvd, 218, Shaker Heights, OH 44118 Phone: 216-932-4330 | |
Dr. Mark A Worford, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3550 Warrensville Center Rd, 104n, Shaker Heights, OH 44122 Phone: 216-921-7700 Fax: 216-921-6898 | |
Dr. Richard E. Gift, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 20475 Farnsleigh Rd, Suite 305, Shaker Heights, OH 44122 Phone: 216-752-2066 Fax: 216-752-2067 |