Blake C Wullbrandt in Keene - Pediatric Dentistry
Blake C Wullbrandt - NPI 1700811734
Blake C Wullbrandt is a Pediatric Dentistry in Keene, New Hampshire. Blake C Wullbrandt practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Blake C Wullbrandt is 1700811734. The last update date is 2008-06-12.
Blake C 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 C Wullbrandt is 113 Railroad St, Keene, New Hampshire. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Blake C Wullbrandt |
|---|---|
| Address | 113 Railroad St, Keene, New Hampshire |
| Phone Number | 6033576385 |
| Fax Number | 6033576960 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Wullbrandt Chester Blake |
| Credentials | DDS |
| Telephone Number | 6033576385 |
NPI Number Detail
| NPI Number | 1700811734 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2008-06-12 |
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 |
|
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. |
|
Post Comment/ Review Below
What is the unique identifier code issued to Blake C Wullbrandt by the Centers for Medicare & Medicaid Services?
The Blake C Wullbrandt has been assigned the NPI (National Provider Identifier) 1700811734. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Blake C Wullbrandt is located?
The Blake C Wullbrandt is situated at the following address: 113 Railroad St, Keene, NH, 34313747.
What is the Blake C Wullbrandt's specialty and taxonomy code?
The Blake C Wullbrandt's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700811734 to Blake C Wullbrandt?
The Centers for Medicare & Medicaid Services originally issued the 1700811734 to Blake C Wullbrandt on 2006-07-11.
As of what date were the Blake C Wullbrandt's details last updated?
The information pertaining to the Blake C Wullbrandt, including its address, specialty, and other details, was most recently updated on 2008-06-12.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY