IndividualActive
Aaron Blackwelder, DDS
NPI 1629296553 · Pediatric Dentistry · Waco, TX
Provider details
- NPI number
- 1629296553
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 08436 (IA)
Practice location
1121 Lake Air Dr
Waco, TX 76710-4417
Phone: (254) 772-8330
Fax: (254) 772-8496
Mailing address
1121 Lake Air Dr
Waco, TX 76710-4417
Registry dates
- Enumerated
- 2007-04-23
- Last updated
- 2011-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.