Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Smiles by Dr Blackmon

Organization General Practice Dentistry · NPI 1306260401

Smiles by Dr Blackmon is a General Practice Dentistry in Shaker Heights, Ohio. Licensed in Ohio. Registered with an NPI since 2014.

Licensed in
OH
In the registry since
2014

Practice location Address checks out

20119 Van Aken Blvd Ste 211
Shaker Heights, OH 44122-3636
Phone: (216) 848-1420
Fax: (216) 848-1400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 30-020813 (OH)

Record details

NPI number1306260401
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Blackmon — Owner/Dentist · (216) 848-1420
NPI enumeratedFebruary 10, 2014
Last updated in NPPESFebruary 10, 2014
Mailing address20119 Van Aken Blvd Ste 211, Shaker Heights, OH 44122-3636

Other providers in Shaker Heights