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Smiles By Dr. Blackmon
General Practice Dentistry in Shaker Heights, Ohio
NPI 1306260401

Smiles By Dr. Blackmon is a General Practice Dentistry based in Shaker Heights, OH and is specialized in General Practice. Smiles By Dr. Blackmon practices in Shaker Heights, OH. The NPI Number for Smiles By Dr. Blackmon is 1306260401 and holds a License No. 30-020813 (Ohio).

The current practice location address for Smiles By Dr. Blackmon is 20119 Van Aken Blvd Ste 211, Shaker Heights, OH and can be reached out via phone at 216-848-1420 and via fax at 216-848-1400.

Location: 20119 Van Aken Blvd Ste 211, Shaker Heights, OH, 44122-3636
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306260401
Provider Name
Smiles By Dr. Blackmon
Credential
Provider Entity Type
Organization
Address
20119 Van Aken Blvd Ste 211, Shaker Heights, OH, 44122-3636
Phone Number
216-848-1420
Fax Number
216-848-1400
Provider Enumeration Date
02/10/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2066580 05 OH
institution
Provider Business Practice Location Address Details
Address
20119 Van Aken Blvd Ste 211
City
Shaker Heights
State
Ohio
Zip
44122-3636
Phone Number
216-848-1420
Fax Number
216-848-1400
person
Provider Business Mailing Address Details
Address
20119 Van Aken Blvd Ste 211
City
Shaker Heights
State
Ohio
Zip
44122-3636
Phone Number
216-848-1420
Fax Number
216-848-1400
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
30-020813 (Ohio)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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