Individual
DR. JOHN S. BLALOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
3606 WHEELER RD., AUGUSTA, GA 30909
(706) 481-8811
(706) 481-8507
Mailing address
3606 WHEELER RD., AUGUSTA, GA 30909
(706) 481-8811
(706) 481-8507
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN011681
GA
1223G0001X
General Practice Dentistry
Primary
DN011681
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000879095A
—
GA
05
—
ZG1681
—
SC
Enumeration date
05/25/2006
Last updated
10/26/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us