Individual
JOSEPH HAYDEN BLALOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
220 N WASHINGTON AVE, COOKEVILLE, TN 38501
(931) 526-2613
(931) 646-0901
Mailing address
220 N WASHINGTON AVE, COOKEVILLE, TN 38501
(931) 526-2613
(931) 646-0901
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10492
TN
Other
Enumeration date
06/13/2017
Last updated
07/21/2022
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