Individual
DR. N BILL BLAYLOCK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
131 FOY DR, SUITE C, ROCKY MOUNT, NC 27804-2448
(252) 443-6443
(252) 443-0043
Mailing address
131 FOY DR, SUITE C, ROCKY MOUNT, NC 27804
(252) 443-6443
(252) 443-0043
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4747
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8990846
—
NC
Enumeration date
08/07/2006
Last updated
07/08/2007
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