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DR. SHELBY DENE BLAYLOCK DDS
NPI 1114309408
Dentist in Olive Branch, MS

Active since June 23, 2015
9035 E SANDIDGE RD STE 100, OLIVE BRANCH, MS 38654(662) 895-7338(662) 895-7040 Get Directions Write a Review

NPPES record last updated: June 23, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shelby Dene Blaylock Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHELBY DENE BLAYLOCK DDS (NPI 1114309408) is an individual dentist in Olive Branch, Mississippi, licensed in Mississippi (3811-15) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1114309408
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. SHELBY DENE BLAYLOCKCredential: DDS
Location Address9035 E SANDIDGE RD STE 100Olive Branch, MS 38654-3563
Mailing Address9035 E Sandidge Rd Ste 100Olive Branch, MS 38654-3563 · (662) 895-7338 · Fax (662) 895-7040
Phone(662) 895-7338
Fax(662) 895-7040
Sole ProprietorNo
Enumeration DateJune 23, 2015
✔ NPI 1114309408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MS · 3811-15
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
9035 E SANDIDGE RD STE 100, Olive Branch, MS 38654
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARENA LOCKE COUNCE DDS
Dentist
9035 E SANDIDGE RD STE 100
OLIVE BRANCH, MS 38654
Desoto County (662) 731-0866
JAMES ANDREW JACKSON, DDS, PLLC
Dentist
9035 E SANDIDGE RD STE 100
OLIVE BRANCH, MS 38654
Desoto County (662) 895-7338
DENTAL PROFESSIONALS OF MISSISSIPPI, P.C.
Dentist (General Practice)
9035 E SANDIDGE RD STE 100
OLIVE BRANCH, MS 38654
Desoto County (662) 895-7338

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelby Blaylock's NPI number?

The NPI number for Shelby Blaylock is 1114309408. It was assigned to this individual provider in the NPPES registry on June 23, 2015.

Where is Shelby Blaylock located?

Shelby Blaylock practices at 9035 E Sandidge Rd Ste 100, Olive Branch, MS 38654. The listed phone number is (662) 895-7338.

What is Shelby Blaylock's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Shelby Blaylock accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 2 other insurers list Shelby Blaylock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shelby Blaylock was last updated on June 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.