| Dr Stacy L Blackmon, DDS | |
|
1100 Village Harbor Dr, Lake Wylie Family Dentistry Pa, Lake Wylie, SC 29710 | |
| (803) 831-8856 | |
| (803) 831-8966 |
| Full Name | Dr Stacy L Blackmon |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 1100 Village Harbor Dr, Lake Wylie, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043334766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3673 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stacy L Blackmon, DDS 1100 Village Harbor Dr, Lake Wylie, SC 29710 Ph: (803) 831-8856 | Dr Stacy L Blackmon, DDS 1100 Village Harbor Dr, Lake Wylie Family Dentistry Pa, Lake Wylie, SC 29710 Ph: (803) 831-8856 |
Chriselle Baritua Tiu, Dentist Medicare: Medicare Enrolled Practice Location: 244 Latitude Ln Ste 103, Lake Wylie, SC 29710 Phone: 803-831-2171 | |
Dr. Thomas N Stall Sr., DMD Dentist Medicare: Medicare Enrolled Practice Location: 1100 Village Harbor Dr., Lake Wylie, SC 29710 Phone: 803-831-8856 Fax: 803-831-8966 | |
Dr. Kyle Richard Kilpatrick Ii, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1100 Village Harbor Dr, Lake Wylie, SC 29710 Phone: 803-831-8856 | |
Dr. Christopher Andrew Snell, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1100 Village Harbor Dr, Lake Wylie, SC 29710 Phone: 803-831-8856 Fax: 803-831-8966 | |
Dr. Ariel N. Kunde, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 244 Latitude Ln Ste 103, Lake Wylie, SC 29710 Phone: 803-831-2171 |