Burch Lee Blackstock, DDS - Dentist in Lakeside, CA

Burch Lee Blackstock, DDS is a Dentist - General Practice based in Lakeside, California. Burch Lee Blackstock is licensed to practice in California (license number 42123) and his current practice location is 12110 Woodside Ave, Lakeside, California. He can be reached at his office (for appointments etc.) via phone at (619) 443-0444.

NPI number for Burch Lee Blackstock is 1144387234 and his current mailing address is 12110 Woodside Ave, Lakeside, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144387234.

Contact Information

Burch Lee Blackstock, DDS
12110 Woodside Ave,
Lakeside, CA 92040-3012
(619) 443-0444
(619) 443-0050



Healthcare Provider's Profile

Full NameBurch Lee Blackstock
GenderMale
SpecialityDentist - General Practice
Location12110 Woodside Ave, Lakeside, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1144387234
  • Provider Enumeration Date: 01/02/2007
  • Last Update Date: 04/17/2014

Medical Identifiers

Medical identifiers for Burch Lee Blackstock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144387234NPI-NPPES
42123OtherCADENTAL BOARD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 42123 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Burch Lee Blackstock is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Burch Lee Blackstock, DDS
12110 Woodside Ave,
Lakeside, CA 92040-3012

Ph: (619) 443-0444
Burch Lee Blackstock, DDS
12110 Woodside Ave,
Lakeside, CA 92040-3012

Ph: (619) 443-0444

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› Verified 9 days ago


Dentist in Lakeside, CA

Dr. Diana Laree Cluff, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 9447 Winter Gardens Blvd, Lakeside, CA 92040
Phone: 619-443-3948    
Dr. Cesar Ayala, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 12110 Woodside Ave, Lakeside, CA 92040
Phone: 619-334-8743    
Dr. Arnold I Cutler, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 9927 Channel Rd, Lakeside, CA 92040
Phone: 619-561-3307    Fax: 619-561-3804
Dr. David Robert Russell, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 8334 Winter Gardens Blvd, Lakeside, CA 92040
Phone: 619-443-7898    Fax: 619-443-4404
Dr. Don Richard Graham, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 9710 Winter Gardens Blvd, Suite #c, Lakeside, CA 92040
Phone: 619-443-8447    Fax: 619-443-5450
Mrs. Ana I Cluff, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 9447 Winter Gardens Blvd, Lakeside, CA 92040
Phone: 619-443-3948    Fax: 619-443-3938

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