Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063019404 Individual Practitioner Female Practitioner

Dr. Lacey Todd Blackwell , DDS

Dentist • Midlothian, VA

Professional Overview & Biography Verified Profile Summary

Dr. Lacey Blackwell, DDS is a registered healthcare professional specializing in Dentist in Midlothian, VA. Practice services are available at 5954 HARBOUR PARK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5954 Harbour Park Dr

Midlothian, VA 231122163

Telephone 8047391600
Associated Practice Facility / Clinic
🏢 Robert N. Penterson, Dds, Pc Facility NPI 1891905923

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Midlothian, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.7 Yrs
Regional Practice Density
64 Specialists

Practicing in Midlothian, VA (2514 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-10-08
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License VA 0401417212

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Stephen Booth , DDS

Dentist - General Practice

NPI 1457445314

Doctor of Dental Surgery

NPI 1619395548

Doctor of Dental Medicine

NPI 1760576532

Doctor of Dental Surgery

NPI 1851030837

Doctor of Dental Medicine

Dr. Catherine Lynn Booth , DDS

Dentist - General Practice

NPI 1992908495

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 08, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 08, 2020

Registered at 5954 HARBOUR PARK DR, MIDLOTHIAN, VA 231122163 (Tel: 8047391600)

📍
Updated Business Mailing Address October 08, 2020

Registered at 6206 DUSTIN DR, RICHMOND, VA 232262510 (Tel: 5407935965)

👤
Provider Name / Credentials Updated October 08, 2020

Recorded as LACEY BLACKWELL, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2020

Dentist (License #0401417212 in VA)

🟢
Initial NPI Registration & Enumeration October 08, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063019404
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 08, 2020
Last Update: October 08, 2020
Sole Proprietor: No

Mailing Address

6206 Dustin Dr

Richmond, VA 232262510

Phone: 5407935965

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.