Lacey Todd Blackwell, DDS

Dentist · Midlothian, VA

Individual Active NPI

NPI number 1063019404

Practice location

5954 Harbour Park Dr
Midlothian, VA 23112-2163
Phone
(804) 739-1600

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NPI record

NPI
1063019404
Entity type
Individual (Type 1)
Enumeration date
October 8, 2020
Last updated
October 8, 2020
Certified
October 8, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 0401417212 VA

Mailing address

6206 Dustin Dr
Richmond, VA 23226-2510
Phone
(540) 793-5965

About Dr. Blackwell

Lacey Todd Blackwell, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 5954 Harbour Park Dr, Midlothian, VA 23112-2163. The NPI number 1063019404 was assigned on October 8, 2020 and the record was last updated on October 8, 2020.

Dr. Blackwell lists a license in the registry: #0401417212 (VA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lacey Todd Blackwell, DDS?

The NPI number is 1063019404.

What is the phone number of Dr. Blackwell?

The phone number listed for the practice location is (804) 739-1600.

Where is Dr. Blackwell located?

5954 Harbour Park Dr, Midlothian, VA 23112-2163.

What is the taxonomy code for Dr. Blackwell?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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