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DR. WILLIAM BALDOCK JR. DMD
NPI 1831695410
Dentist - Periodontics in Tallahassee, FL

Active since April 03, 2018Opted out of Medicare · through Feb 28, 2027
2621 MITCHAM DR STE 101, TALLAHASSEE, FL 32308(850) 942-8111(850) 942-8114 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2025, May 21, 2021, Sep 18, 2018 (3 updates tracked since 2018).

About Dr. William Baldock Jr. Dmd NPPES

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

DR. WILLIAM BALDOCK JR. DMD (NPI 1831695410) is an individual periodontics provider in Tallahassee, Florida, licensed in Florida (DN23532) and active in the NPI registry since April 2018. He has opted out of Medicare through February 28, 2027.

NPPES Registry Identity

NPI1831695410
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. WILLIAM BALDOCK JR.Credential: DMD
Location Address2621 MITCHAM DR STE 101Tallahassee, FL 32308-5481
Mailing Address2621 Mitcham Dr Ste 101Tallahassee, FL 32308-5481 · (850) 942-8111 · Fax (850) 942-8114
Phone(850) 942-8111
Fax(850) 942-8114
Sole ProprietorYes
Enumeration DateApril 3, 2018
Last NPPES UpdateAugust 12, 20253 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
✔ NPI 1831695410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in FL · DN23532
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedDentistTaxonomy 122300000X · License DN23532 (FL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2621 MITCHAM DR STE 101, Tallahassee, FL 32308
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. William Baldock Jr. Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 28, 2023 through February 28, 2027.

Opt-Out Effective DateFebruary 28, 2023
Opt-Out In Effect ThroughFebruary 28, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 William Baldock's NPI number?

The NPI number for William Baldock is 1831695410. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Where is William Baldock located?

William Baldock practices at 2621 Mitcham Dr Ste 101, Tallahassee, FL 32308. The listed phone number is (850) 942-8111.

What is William Baldock's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is William Baldock enrolled in Medicare?

No. William Baldock has opted out of Medicare through February 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for William Baldock was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.