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DANA LYNN BLALOCK D.D.S.
NPI 1417974361
Dentist - General Practice in Johns Island, SC

Active since July 16, 2006PECOS Enrolled
3464 MAYBANK HWY, JOHNS ISLAND, SC 29455(843) 559-3530(843) 559-2693 Get Directions Write a Review

NPPES record last updated: April 2, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dana Lynn Blalock D.d.s. NPPES

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

DANA LYNN BLALOCK D.D.S. (NPI 1417974361) is an individual general practice provider in Johns Island, South Carolina, licensed in South Carolina (3158) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1417974361
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDANA LYNN BLALOCKCredential: D.D.S.
Location Address3464 MAYBANK HWYJohns Island, SC 29455-4820
Mailing Address1022 Physicians Dr # BCharleston, SC 29414-5719 · (843) 494-5004 · Fax (866) 462-0121
Phone(843) 559-3530
Fax(843) 559-2693
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateJuly 16, 2006
Last NPPES UpdateApril 2, 2021
NPPES CertifiedApril 2, 2021
✔ NPI 1417974361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in SC · 3158
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3464 MAYBANK HWY, Johns Island, SC 29455
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dana Lynn Blalock D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486931888
PECOS Enrollment IDI20171117001684
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
199 services199 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29455 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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. ROBERT BEASLEY GAMBLE III D.M.D
Dentist (General Practice)
3464 MAYBANK HWY
JOHNS ISLAND, SC 29455
Charleston County (843) 559-3530
LOWCOUNTRY DENTAL ASSOCIATES
Dentist (General Practice)
3464 MAYBANK HWY
JOHNS ISLAND, SC 29455
Charleston County (844) 355-9353
LINDA R LIGENZA
Social Worker (Clinical)
3464 MAYBANK HWY
JOHNS ISLAND, SC 29455
Charleston County (301) 801-7867

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 Dana Blalock's NPI number?

The NPI number for Dana Blalock is 1417974361. It was assigned to this individual provider in the NPPES registry on July 16, 2006.

Where is Dana Blalock located?

Dana Blalock practices at 3464 Maybank Hwy, Johns Island, SC 29455. The listed phone number is (843) 559-3530.

What is Dana Blalock's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Dana Blalock enrolled in Medicare?

Yes. Dana Blalock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dana Blalock was last updated on April 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.