Thanks for the detailed explanation. The areas I wondered about were the sparse areas with no population growth, areas where no exchanges would get added. In other words, plenty of "room" so there was no conflict. I'm not sure such areas exist anymore, although I understand some western states are zero or even negative population growth.
Back in the 1970s I saw small town phone books. Dialing instructions for between towns could be rather complex, with a variety of odd access codes required depending on the town. I don't think this was uncommon.
Further, in some places the dialable area was quite narrow, anywhere required the operator. Anyway, all of this would simplify the switch level design.
In the 1970s, when the Bell System introduced dialed direct toll savings, they prominently stated that they applied to areas that didn't have DDD.
All very true. Dialing outward could be controlled by special access codes, as mentioned or simply not even provided for.
But inward dialing was still needed to these little points and everyone needed a 7 digit unique number within the area code. Some towns had all toll service passed through a larger next down, that probably was an SxS too, but doing double duty as a tandem to relay calls through.
Many people were converted from 5d to 7d at that time, others got new NNXs.
The Bell System Labs history Pt II switching goes into some of this, although they don't get into the selector level detail you provided.
We take DDD for granted but as you showed, it was extremely complex. The Bell System had a wide variety of individual exchanges and trunking arrangements out there, and the independents had even more variety. In addition, the layouts were fluid as many suburban communities were rapidly growing. Indeed, I'm not sure how much DDD was implemented before 1955 as the Bell System was until then struggling to meet basic service demands. Wholly new exchanges, additions to existing ones, new cable plant, new commercial offices, etc. They had people working out of trailers due to a shortage of office space.
Thanks again for the information.