Stacy L. Blackmon, DDS
Dentist · Lake Wylie, SC
Stacy L. Blackmon, DDS is a dentist with a practice address in Lake Wylie, South Carolina, and NPI 1043334766, issued on Mar 19, 2007. Check the license (South Carolina 3673, as entered in NPPES) with the South Carolina board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Stacy L. Blackmon
- Credential
- DDS
- Primary taxonomy
- Dentist 122300000X
- License number
- 3673 SC
Self-reported in NPPES; status is on the state search - Practice location
- 1100 Village Harbor Dr, Lake Wylie, SC 29710
- Phone
- (803) 831-8856
- Enumerated
- Mar 19, 2007
- Record last updated
- Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
- Fax
- (803) 831-8966
- Entity
- Type 1 · individual
8 nearest dentist records → All 1,124 in South Carolina → Look up another NPI →
Also registered at 1100 Village Harbor Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Kyle Kilpatrick, DMDGeneral Practice Dentistry1407531981
- Christopher Snell, D.D.S.Dentist1427167311
Verify Stacy L. Blackmon in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich South Carolina board licenses this profession
Search for license 3673Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2.3 times the Medicare Part D claims of the average dentist in 2024
194 Medicare Part D claims for 120 beneficiaries, against an average of 86 among the 51,021 providers of this specialty who prescribed in Part D.
Most prescribed
- Amoxicillin112 claims
- Cephalexin27 claims
- Ibuprofen16 claims
- Amoxicillin-Clavulanate Potass13 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $796.81
9 payments; by number, the most common kind was gift; the largest payer was Ultradent Products Inc. The 31,974 providers of this specialty with any payment received $540.36 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Stacy L. Blackmon among 1,124 dentist records in South Carolina
Stacy L. Blackmon, DDS is one of 1,124 dentist records with a practice address in South Carolina. 66% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 21% of them.
- NPI issued2007 · 21% of these records are older, 62% newer
- In a Medicare fileYes · 66% of these records are
- In the CMS Doctors and Clinicians fileNo · under 1% of these records are
- Record last updated2007 · 64% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 122300000X and a South Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
3 dentist records list a practice address in Lake Wylie
They are 3 of the 95 NPPES records with a practice address in Lake Wylie, and 1,124 dentist records in South Carolina.
All 1,124 in South Carolina → Every provider in Lake Wylie → Dentist nationwide →
The 8 dentist records with the nearest ZIP codes
- James Case, DMDClover, SC 297101114445871
- Tatum NewbillClover, SC 297101215565833
- Sneha Patel, DDSClover, SC 297101891319844
- Christopher Snell, D.D.S.Lake Wylie, SC 297101427167311
- Thomas Stall, DMDLake Wylie, SC 297101124158472
- Charles Clark, DMDChesterfield, SC 297091346381886
- William Perdue, DMDChesterfield, SC 297091083752505
- Priya Chougule, DMDFort Mill, SC 297081619175957
Common questions
What is Stacy L. Blackmon, DDS's NPI number?
Stacy L. Blackmon, DDS's National Provider Identifier (NPI) is 1043334766, issued on Mar 19, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Stacy L. Blackmon, DDS located?
The NPPES record lists a practice address at 1100 Village Harbor Dr, Lake Wylie, SC, 29710. Phone: (803) 831-8856. Providers update this record themselves, so call before visiting.
How can I verify Stacy L. Blackmon, DDS's license?
NPPES lists South Carolina license number 3673, as entered by the provider. Search the South Carolina board that licenses this profession; the NPPES record confirms identity only.
How much does Stacy L. Blackmon, DDS prescribe under Medicare Part D?
In 2024, Stacy L. Blackmon, DDS had 194 Medicare Part D claims for 120 beneficiaries; the average among dentist prescribers was 86. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.