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

Dr. Lacey Todd Blackwell, DDS

Individual provider Dentist · NPI 1063019404

Dr. Lacey Todd Blackwell, DDS is a Dentist in Midlothian, Virginia. Licensed in Virginia. Registered with an NPI since 2020.

Licensed in
VA
In the registry since
2020
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

5954 Harbour Park Dr
Midlothian, VA 23112-2163
Phone: (804) 739-1600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 0401417212 (VA)

Record details

NPI number1063019404
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedOctober 8, 2020
Last updated in NPPESOctober 8, 2020
Certification dateOctober 8, 2020
Mailing address6206 Dustin Dr, Richmond, VA 23226-2510

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