Derek Reade Blackwelder in Winnisquam - Dentist
Derek Reade Blackwelder - NPI 1568459956
Derek Reade Blackwelder is a Dentist in Winnisquam, New Hampshire. Derek Reade Blackwelder practices all healthcare services and medical treatments related to Dentist. The NPI Number for Derek Reade Blackwelder is 1568459956. The last update date is 2016-04-05.
Derek Reade Blackwelder's current location address is Po Box 1020, Winnisquam, New Hampshire. You can contact this provider via phone number 6035281212 and fax number 6035281320. The mailing address for Derek Reade Blackwelder is Po Box 1020, Winnisquam, New Hampshire. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derek Reade Blackwelder |
|---|---|
| Address | Po Box 1020, Winnisquam, New Hampshire |
| Phone Number | 6035281212 |
| Fax Number | 6035281320 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1568459956 |
|---|---|
| Provider Enumeration Date | 2005-09-30 |
| Last Updated Date | 2016-04-05 |
Provider Mailing Address Detail
| Address | Po Box 1020 |
|---|---|
| City | Winnisquam |
| State | New Hampshire (NH) |
| Post Code | 32891020 |
| Phone Number | 6035281212 |
| Fax Number | 6035281320 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 3600 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 24636371 | NM | -- | |
| 3070586 | NH | -- | |
| 945719 | AZ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Derek Reade Blackwelder by the Centers for Medicare & Medicaid Services (CMS)?
The Derek Reade Blackwelder has been assigned the NPI (National Provider Identifier) 1568459956. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Derek Reade Blackwelder's facilities are geographically located?
The facilities of Derek Reade Blackwelder are physically situated at the following location: Po Box 1020, Winnisquam, NH, 32891020.
What is Derek Reade Blackwelder's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Derek Reade Blackwelder is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date was the 1568459956 assigned to Derek Reade Blackwelder?
The Derek Reade Blackwelder was issued its 1568459956 on 2005-09-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Derek Reade Blackwelder most recently updated or revised?
The details related to Derek Reade Blackwelder, including its address, specialty, and other relevant information, were last updated or revised on 2016-04-05.
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