William Baldock Jr., DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN23532 Issued in FL

Practice address

2621 Mitcham Dr Ste 101
Tallahassee, FL 32308-5481

Phone

(850) 942-8111

Fax

(850) 942-8114

NPI assigned

Apr 3, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 28, 2023 through Feb 28, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1831695410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 MITCHAM DR STE 101",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085481",
            "telephone_number": "850-942-8111",
            "fax_number": "850-942-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 MITCHAM DR STE 101",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085481",
            "telephone_number": "850-942-8111",
            "fax_number": "850-942-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDOCK",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-03",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN23532",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN23532",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Fiona Tagod Balandra, PT,DPT
• Emily Ware Baldwin
• Dhanin Cole Balgobin
• Sunita Balgobin
• Katrina Ball, CNMAPRN
• Starr Jennifer Ball, DO

• Periodontics in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.