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

Dr. Stacy L Blackmon, DDS

Individual provider Dentist · NPI 1043334766

Dr. Stacy L Blackmon, DDS is a Dentist in Lake Wylie, South Carolina. Licensed in South Carolina. Registered with an NPI since 2007.

Licensed in
SC
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.

See every abbreviation used in this directory →

Practice location Address checks out

1100 Village Harbor Dr Lake Wylie Family Dentistry Pa
Lake Wylie, SC 29710
Phone: (803) 831-8856
Fax: (803) 831-8966
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 3673 (SC)

Record details

NPI number1043334766
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedMarch 19, 2007
Last updated in NPPESJuly 8, 2007

Other providers in Lake Wylie