Joseph Hayden Blalock, DMD
Dentist in Cookeville, TN. Individual provider (NPI-1).
NPI number1114457215
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1114457215
- Entity type
- Individual (NPI-1)
- Name
- Joseph Hayden Blalock
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 13, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 10492 | TN | Yes |
Practice location
220 N Washington AveCookeville, TN 38501
Phone 931-526-2613 · Fax 931-646-0901
Mailing address
220 N Washington AveCookeville, TN 38501
Phone 931-526-2613 · Fax 931-646-0901
Other practice locations
220 N Washington Ave
Cookeville, TN 38501
Cookeville, TN 38501
Phone 931-526-2613 · Fax 931-646-0901
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