Doctor profile · Federal record
Dr. Stacy Blackmon, DDS
Dentist · Lake Wylie, SC
- NPI 1043334766
- 19 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1100 Village Harbor Dr, Lake Wylie Family Dentistry PA
Lake Wylie, SC 29710
(803) 831-8856
fax (803) 831-8966
Credentials & registration
- NPI registered
- March 2007 — 19 yrs on file
- Profile last updated
- July 8, 2007
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- South Carolina #3673
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1043334766. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$797
Transactions
9
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ultradent Products INC | 7 | $766.80 | |
| Solventum Corporation | 1 | $20.54 | |
| Align Technology, INC. | 1 | $9.47 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
117
Patients
92
Total drug cost
$774
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 84 | 66 | $457 |
| Cephalexin | Generic | 17 | 12 | $180 |
| Clindamycin Hcl | Generic | 16 | 14 | $137 |
Frequently asked questions
What is Dr. Stacy Blackmon's medical specialty?
Dr. Stacy Blackmon practices Dentist in Lake Wylie, SC.
Where does Dr. Stacy Blackmon practice?
Dr. Stacy Blackmon practices at 1100 Village Harbor Dr, Lake Wylie, SC 29710. Office phone: 8038318856.
What is Dr. Stacy Blackmon's NPI?
Dr. Stacy Blackmon's National Provider Identifier (NPI) is 1043334766, issued by NPPES.