IndividualActive
Lacey Blackwell, DDS
NPI 1063019404 · Dentist · Midlothian, VA
Lacey Blackwell, DDS is a Dentist provider in Midlothian, VA (NPI 1063019404).
Provider details
- NPI number
- 1063019404
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 0401417212 (VA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5954 Harbour Park Dr
Midlothian, VA 23112-2163
Phone: (804) 739-1600
Street-level locationGet directions
Mailing address
6206 Dustin Dr
Richmond, VA 23226-2510
Registry dates
- Enumerated
- 2020-10-08
- Last updated
- 2020-10-08
- Certified
- 2020-10-08
Frequently asked questions
- What is Lacey Blackwell's NPI number?
- Lacey Blackwell's National Provider Identifier (NPI) is 1063019404, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lacey Blackwell's specialty?
- Lacey Blackwell is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Lacey Blackwell located?
- Lacey Blackwell's practice location on file with NPPES is 5954 Harbour Park Dr, Midlothian, VA 23112-2163.
- What is Lacey Blackwell's phone number?
- The practice phone number listed in the NPPES registry for Lacey Blackwell is (804) 739-1600.
- Is Lacey Blackwell's NPI active?
- Yes — Lacey Blackwell's NPI (1063019404) is active in the NPPES registry as of the last update on 2020-10-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.