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WACO KIDS DENTAL PC
NPI 1598041659
Dentist - Pediatric Dentistry in Waco, TX

Active since November 02, 2011
1121 LAKE AIR DR, WACO, TX 76710(254) 772-8330 Get Directions Write a Review

NPPES record last updated: November 2, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Waco Kids Dental Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WACO KIDS DENTAL PC (NPI 1598041659) is a healthcare organization registered as a pediatric dentistry in Waco, Texas and active in the NPI registry since November 2011. The organization lists Aaron Blackwelder, President, as its authorized official.

NPPES Registry Identity

NPI1598041659
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameWACO KIDS DENTAL PC
Location Address1121 LAKE AIR DRWaco, TX 76710-4417
Mailing Address1121 Lake Air DrWaco, TX 76710-4417 · (254) 772-8330
Phone(254) 772-8330
Organization SubpartNo
Authorized OfficialAaron BlackwelderPresident · (254) 772-8330
Enumeration DateNovember 2, 2011
✔ NPI 1598041659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in TX · 22764
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.
1121 LAKE AIR DR, Waco, TX 76710
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AARON CHRISTIAN BLACKWELDER DDS
Dentist (Pediatric Dentistry)
1121 LAKE AIR DR
WACO, TX 76710
McLennan County (254) 772-8330
TODD MORONI BUSHMAN DMD
Dentist (Pediatric Dentistry)
1121 LAKE AIR DR
WACO, TX 76710
McLennan County (254) 772-8330
DR. MARK CHRISTOPHER COONS JR. D.D.S.
Dentist
1121 LAKE AIR DR
WACO, TX 76710
McLennan County (254) 772-8330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Waco Kids Dental PC's NPI number?

The NPI number for Waco Kids Dental PC is 1598041659. It was assigned to this organization in the NPPES registry on November 2, 2011.

Where is Waco Kids Dental PC located?

Waco Kids Dental PC is located at 1121 Lake Air Dr, Waco, TX 76710. The listed phone number is (254) 772-8330.

What is Waco Kids Dental PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Waco Kids Dental PC accept?

Health plans from UnitedHealthcare list Waco Kids Dental PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Waco Kids Dental PC was last updated on November 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.