Stacy Blackmon, DDS

ActiveIndividual ProviderDentistry
NPI issued: March 19, 2007

Quick Facts

NPI Number
1043334766
TypeIndividual
StatusActive
SpecialtyDentistry
Taxonomy122300000X — Dentistry
Phone
(803) 831-8856
StateSC

NPI Validation Status: Verified

Valid 10-digit NPI number (1043334766)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (March 19, 2007)
Data source: CMS NPPES

Provider Overview

STACY BLACKMON, DDS is a Dentistry provider based in Lake Wylie, SC who has been registered with CMS since 2007. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1043334766
Provider TypeIndividual Provider
GenderFemale
CredentialDDS
StatusActive
Enumeration DateMarch 19, 2007

Practice Location

CityLake Wylie
StateSC
ZIP Code29710
Phone(803) 831-8856

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code122300000X
License StateSC

Mailing Address

CityLake Wylie
StateSC
ZIP Code29710
Phone(803) 831-8856
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1043334766 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1043334766for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1043334766 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

Specialists in Dentistry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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125,053
Dentistry Providers in the US

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People Also Ask

What is Stacy Blackmon's NPI number?
Stacy Blackmon's NPI number is 1043334766, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Stacy Blackmon's NPI currently active?
Yes, Stacy Blackmon's NPI status is Active as of the latest CMS NPPES database updates.
What does Stacy Blackmon specialize in?
Stacy Blackmon specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 122300000X.
Where does Stacy Blackmon practice?
Stacy Blackmon practices in Lake Wylie, SC 29710.
When was Stacy Blackmon's NPI issued?
Stacy Blackmon's NPI was issued on March 19, 2007.
What is Stacy Blackmon's provider type?
Stacy Blackmon is registered as an Individual Provider under CMS NPI Type 1.