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

Burch Lee Blackstock, DDS

Individual provider General Practice Dentistry · NPI 1144387234

Burch Lee Blackstock, DDS is a General Practice Dentistry in Lakeside, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

12110 Woodside Ave
Lakeside, CA 92040-3012
Phone: (619) 443-0444
Fax: (619) 443-0050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 42123 (CA)

Record details

NPI number1144387234
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJanuary 2, 2007
Last updated in NPPESApril 17, 2014
Mailing address12110 Woodside Ave, Lakeside, CA 92040-3012

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