Wallace Ray Blackwelder in Rowland Heights - Dentist
Wallace Ray Blackwelder - NPI 1801915939
Wallace Ray Blackwelder is a Dentist in Rowland Heights, California. Wallace Ray Blackwelder practices all healthcare services and medical treatments related to Dentist. The NPI Number for Wallace Ray Blackwelder is 1801915939. The last update date is 2012-06-13.
Wallace Ray Blackwelder's current location address is 19728 Colima Rd, Rowland Heights, California. You can contact this provider via phone number 9095941758 and fax number 9095944158. The mailing address for Wallace Ray Blackwelder is 19728 Colima Rd, Rowland Heights, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wallace Ray Blackwelder |
|---|---|
| Address | 19728 Colima Rd, Rowland Heights, California |
| Phone Number | 9095941758 |
| Fax Number | 9095944158 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1801915939 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2012-06-13 |
Provider Mailing Address Detail
| Address | 19728 Colima Rd |
|---|---|
| City | Rowland Heights |
| State | California (CA) |
| Post Code | 917483210 |
| Phone Number | 9095941758 |
| Fax Number | 9095944158 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 31897 |
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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: denti |
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What is the unique identification code assigned to Wallace Ray Blackwelder by the Centers for Medicare & Medicaid Services?
The Wallace Ray Blackwelder has been issued the NPI (National Provider Identifier) 1801915939. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Wallace Ray Blackwelder?
The Wallace Ray Blackwelder is situated at 19728 Colima Rd, in the city of Rowland Heights, state of CA, with the zip code 917483210.
What is the area of specialization for Wallace Ray Blackwelder, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Wallace Ray Blackwelder is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Wallace Ray Blackwelder receive its 1801915939 assignment from the Centers for Medicare & Medicaid Services?
The Wallace Ray Blackwelder was assigned its 1801915939 by the Centers for Medicare & Medicaid Services on 2007-03-28.
When was the information regarding Wallace Ray Blackwelder, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Wallace Ray Blackwelder, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-06-13.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA