Jordan Tyler Blalock, DDS
Individual provider Active NPI General Practice Dentistry · Duncan, OK
NPI 1538098017 · NPPES record last updated May 19, 2026
Key facts
- NPI
- 1538098017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 8189 (OK)
- Practice address
- 1007 W Oak Ave
Duncan, OK 73533-4537 - Phone
- (580) 255-6621
- Fax
- (580) 252-7345
- NPI assigned
- May 19, 2026
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oral and Maxillofacial Surgery Associates Oklahoma PC | Single Specialty | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 8189 | OK | Yes |
Addresses
Primary practice location
1007 W Oak Ave
Duncan, OK 73533-4537
Mailing address
605 W Choctaw St
Marlow, OK 73055-3239
Phone (580) 467-7180
Other providers in Duncan, OK
- Dana Walker Berryhill
- Mikalyn Dalanie Bianchini
- Drew Daniel Biggs
- Charles Wayne Bingham
- Kara Loy Blackburn
- Claire Blevins
- Bloom Physical Therapy & Wellness PLLC
- Brian Edward Bobrovicz
- Donald Wayne Bonner
- Jamey Ray Bowles
All providers in Duncan, OK · General Practice Dentistry in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.