Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003862731 Individual Practitioner Male Practitioner

Dr. John S. Blalock , DMD

Dentist - General Practice • Augusta, GA

Professional Overview & Biography Verified Profile Summary

Dr. John Blalock, DMD is a registered healthcare professional specializing in Dentist - General Practice in Augusta, GA. Practice services are available at 3606 WHEELER RD. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3606 Wheeler Rd.

Augusta, GA 30909

Telephone 7064818811
Fax 7064818507

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Augusta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
124 Specialists

Practicing in Augusta, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN011681

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist

NUCC Taxonomy Code: 122300000X

State License GA DN011681

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
ZG1681 (SC)
Medicaid State Provider ID
000879095A (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1982647012

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active October 26, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 26, 2017

Registered at 3606 WHEELER RD., AUGUSTA, GA 30909 (Tel: 7064818811)

📍
Updated Business Mailing Address October 26, 2017

Registered at 3606 WHEELER RD., AUGUSTA, GA 30909 (Tel: 7064818811)

👤
Provider Name / Credentials Updated October 26, 2017

Recorded as JOHN BLALOCK, D.M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2017

Dentist (License #DN011681 in GA)

NPI Profile Active January 11, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location January 11, 2012

Registered at 1430 JOHN WESLEY GILBERT DRIVE, GC-1024, AUGUSTA, GA 309121001 (Tel: 7067219633)

📍
Updated Business Mailing Address January 11, 2012

Registered at 1120 15TH ST, GC-1024, AUGUSTA, GA 309120004 (Tel: 7067219633)

👤
Provider Name / Credentials Updated January 11, 2012

Recorded as JOHN BLALOCK, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2012

Dentist (License #DN011681 in GA)

🟢
Initial NPI Registration & Enumeration May 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003862731
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 25, 2006
Last Update: October 26, 2017
Sole Proprietor: Yes

Mailing Address

3606 Wheeler Rd.

Augusta, GA 30909

Phone: 7064818811

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.