Dr. Darrell Wayne Blalock , DDS
Dentist - General Practice • Slidell, LA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Darrell Blalock has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Darrell Blalock, DDS was a registered Dentist - General Practice practicing in Slidell, LA. Throughout an active medical career spanning 17 years, Dr. Blalock provided care at the practice location at 112 VILLAGE ST until profile deactivation on 2023-02-01.
Practice Location & Contact Primary Location
112 Village St
Slidell, LA 704585300
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Slidell, LA
Practicing in Slidell, LA (1587 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on February 01, 2023
NPI status registered as active in NPPES database
Registered at 112 VILLAGE ST, SLIDELL, LA 704585300 (Tel: 9856492919)
Registered at 112 VILLAGE ST, SLIDELL, LA 704585300 (Tel: 9856492919)
Recorded as DARRELL BLALOCK, DDS
Dentist (License #2687 in LA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
112 Village St
Slidell, LA 704585300
Phone: 9856492919
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