Individual
DR. JORDAN TYLER BLALOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1007 W OAK AVE, DUNCAN, OK 73533-4537
(580) 255-6621
(580) 252-7345
Mailing address
605 W CHOCTAW ST, MARLOW, OK 73055-3239
(580) 467-7180
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8189
OK
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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