Aaron Christian Blackwelder in Waco - Pediatric Dentistry
Aaron Christian Blackwelder - NPI 1629296553
Aaron Christian Blackwelder is a Pediatric Dentistry in Waco, Texas. Aaron Christian Blackwelder practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Aaron Christian Blackwelder is 1629296553. The last update date is 2011-11-02.
Aaron Christian Blackwelder's current location address is 1121 Lake Air Dr, Waco, Texas. You can contact this provider via phone number 2547728330 and fax number 2547728496. The mailing address for Aaron Christian Blackwelder is 1121 Lake Air Dr, Waco, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Aaron Christian Blackwelder |
|---|---|
| Address | 1121 Lake Air Dr, Waco, Texas |
| Phone Number | 2547728330 |
| Fax Number | 2547728496 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1629296553 |
|---|---|
| Provider Enumeration Date | 2007-04-23 |
| Last Updated Date | 2011-11-02 |
Provider Mailing Address Detail
| Address | 1121 Lake Air Dr |
|---|---|
| City | Waco |
| State | Texas (TX) |
| Post Code | 767104417 |
| Phone Number | 2547728330 |
| Fax Number | 2547728496 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 8436 |
|
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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What is the unique 10-digit identification code assigned to Aaron Christian Blackwelder by the Centers for Medicare & Medicaid Services?
The Aaron Christian Blackwelder has been issued the NPI (National Provider Identifier) 1629296553, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Aaron Christian Blackwelder?
The Aaron Christian Blackwelder is physically situated at 1121 Lake Air Dr, in the city of Waco, state of TX, with the postal code 767104417.
What is the Aaron Christian Blackwelder's specialty and taxonomy code?
The Aaron Christian Blackwelder's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
When was the Aaron Christian Blackwelder's 1629296553 issued?
The Aaron Christian Blackwelder's 1629296553 was issued on 2007-04-23.
When was the information regarding Aaron Christian Blackwelder, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Aaron Christian Blackwelder, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-11-02.