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Jordan Tyler Blalock, DDS

NPI 1538098017ActiveIndividual· Dentist, General Practice· Duncan, OK

Dentist, General Practice (DDS) in Duncan, Oklahoma, licensed in OK, with an NPI issued in May 2026.

Overview

NPI1538098017
StatusActive
Entity typeIndividual
CredentialDDS
Sole proprietorYes
NPI issuedMay 19, 2026
Last updated in NPPESMay 19, 2026
Certified by providerMay 19, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X8189OK

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other general dentists in Duncan

All 17 general dentists in Duncan · All general dentists in Oklahoma