Blake Chester Wullbrandt in Keene - Pediatric Dentistry
Blake Chester Wullbrandt - NPI 1891720967
Blake Chester Wullbrandt is a Pediatric Dentistry in Keene, New Hampshire. Blake Chester Wullbrandt practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Blake Chester Wullbrandt is 1891720967. The last update date is 2007-07-09.
Blake Chester Wullbrandt's current location address is 113 Railroad St, Keene, New Hampshire. You can contact this provider via phone number 6033576385 and fax number 6033576960. The mailing address for Blake Chester Wullbrandt is 113 Railroad St, Keene, New Hampshire. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Blake Chester Wullbrandt |
|---|---|
| Address | 113 Railroad St, Keene, New Hampshire |
| Phone Number | 6033576385 |
| Fax Number | 6033576960 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1891720967 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 113 Railroad St |
|---|---|
| City | Keene |
| State | New Hampshire (NH) |
| Post Code | 34313747 |
| Phone Number | 6033576385 |
| Fax Number | 6033576960 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 3257 |
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Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30301778 | NH | -- |
Post Comment/ Review Below
What is the Blake Chester Wullbrandt's 1891720967?
The Blake Chester Wullbrandt's NPI (National Provider Identifier) Number is 1891720967. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Blake Chester Wullbrandt located?
The Blake Chester Wullbrandt is located at 113 Railroad St, Keene, NH 34313747.
What is Blake Chester Wullbrandt's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Blake Chester Wullbrandt's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1891720967 to Blake Chester Wullbrandt?
The Centers for Medicare & Medicaid Services originally issued the 1891720967 to Blake Chester Wullbrandt on 2006-07-11.
As of what date were the details pertaining to Blake Chester Wullbrandt last refreshed?
The information related to the Blake Chester Wullbrandt, including its address, specialty, and other relevant details, was last updated on 2007-07-09.