LAWRENCE BURNETT BLACKMON (NPI# 1891907614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891907614 |
| Entity Type | Individual |
| Full Name | LAWRENCE BURNETT BLACKMON |
| Credential | D.D.S. |
| Practice Address |
69730 Highway 111 Suite 105 Rancho Mirage CA 92270-2869 |
| Practice Telephone | 7603218869 |
| Practice Fax Number | 7603249929 |
| Mailing Telephone | 7603218869 |
| Mailing Fax Number | 7603249929 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 38041 | CA | Dental Providers |
| Street Address |
69730 HIGHWAY 111 SUITE 105 |
| City | RANCHO MIRAGE |
| State | CA |
| Zip Code | 92270-2869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053397182 | William A Stellar | Internal Medicine | 69730 Highway 111, Ste 116, Rancho Mirage, CA 92270-2869 | 2005-12-20 |
| 1164622452 | Ray Montella | Psychologist | 69730 Highway 111, Suite 109, Rancho Mirage, CA 92270-2869 | 2007-07-24 |
| 1427276575 | Janet Lynn Miller | Speech-Language Pathologist | 69730 Highway 111, Suite 115, Rancho Mirage, CA 92270-2869 | 2007-04-23 |
| 1104993765 | Ramona A. Moody French | Massage Therapist | 69730 Highway 111, Suite 113, Rancho Mirage, CA 92270-2869 | 2006-11-29 |
| 1932279486 | Burton Boss | Massage Therapist | 69730 Highway 111, Suite 113, Rancho Mirage, CA 92270-2869 | 2006-11-09 |
| 1619980455 | Andrew R Rothstein | Podiatrist | 69730 Highway 111, Suite 101, Rancho Mirage, CA 92270-2869 | 2006-08-14 |
| 1336168517 | Desert Podiatry Group | Podiatrist | 69730 Highway 111, Suite 101, Rancho Mirage, CA 92270-2869 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757824 | Monsetrrat Martinez | Behavioral Analyst | 69930 Ca-111, Ste 118, Rancho Mirage, CA 92270 | 2020-07-09 |
| 1306475785 | Christine Palmares | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-07 |
| 1821627449 | Dino Mellone | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office Ste. 201, Rancho Mirage, CA 92270 | 2020-04-06 |
| 1356970164 | Chris Kim | Student in an Organized Health Care Education/Training Program | Eisenhower Health Emergency Medicine Residency, 39000 Bob Hope Dr., Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-03 |
| 1609434075 | Junko Ohara | Student in an Organized Health Care Education/Training Program | Eisenhower Health Internal Medicine Residency, 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-05-31 |
| 1245791896 | Iman Rasheed | Student in an Organized Health Care Education/Training Program | 3900 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-03-27 |
| 1073086583 | Robert B Greene | Internal Medicine | 8 Moon Lake Drive, Rancho Mirage, CA 92270 | 2019-01-08 |
| 1356818884 | Kade Bartschi | Dentist | 1591 Griffin Rd, 29 Palms, CA 92270 | 2018-11-02 |
| 1841775392 | Rose Pharmacy Rm LLC | Pharmacy | 35400 Bob Hope Drive, Suite #207, Rancho Mirage, CA 92270 | 2018-10-01 |
| 1235615956 | Trang Huyen Nguyen | Dentist | 71-817 Hwy 111 Suite A, Rancho Mirage, CA 92270 | 2018-07-16 |
| Find all providers in zip 92270 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962978551 | Candice Carly Schwartz | Dentist | 42900 Bob Hope Dr Ste 111, Rancho Mirage, CA 92270-4442 | 2018-10-22 |
| 1750740015 | Jeffery Pascal | Dentist | 71949 Highway 111 Ste 100b, Rancho Mirage, CA 92270-4826 | 2016-02-15 |
| 1750640694 | Ellie Kheirkhahi-love | Dentist | 72780 Country Club Dr Ste 402, Rancho Mirage, CA 92270-4149 | 2012-05-13 |
| 1447538228 | Dfdd Clinical Services | Dentist | 42900 Bob Hope Dr, Suite 111, Rancho Mirage, CA 92270-4442 | 2011-07-28 |
| 1306090345 | Peter A Ljungbergh | Dentist | 36101 Bob Hope Dr., Suite B-4, Rancho Mirage, CA 92270 | 2008-11-04 |
| 1912194663 | Carol Ann Berg | Dentist | 72027 Desert Dr, Ste. 100, Rancho Mirage, CA 92270-4959 | 2007-09-26 |
| 1235334806 | Rod H Strober | Dentist | 72775 Frank Sinatra Dr Ste B, Rancho Mirage, CA 92270-3229 | 2007-06-15 |
| 1134323660 | Klaus M Yi | Dentist | 34530 Bob Hope Dr, Suite B, Rancho Mirage, CA 92270-1727 | 2007-06-11 |
| 1730391558 | Frank Haggard | Dentist | 69730 Hwy 111, Ste 105, Rancho Mirage, CA 92270 | 2007-05-04 |
| 1710049887 | Chun K Kim | Dentist | 35900 Bob Hope Drive Ste 110, Tmj Head and Neck Pain Center, Rancho Mirage, CA 92270 | 2006-12-15 |
| Find all providers in RANCHO MIRAGE | ||||
| City | RANCHO MIRAGE |
| Zip Code | 92270 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.