Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Waco Kids Dental PC

Organization Pediatric Dentistry · NPI 1598041659

Waco Kids Dental PC is a Pediatric Dentistry in Waco, Texas. Licensed in Texas. Registered with an NPI since 2011.

Licensed in
TX
In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1121 Lake Air Dr
Waco, TX 76710-4417
Phone: (254) 772-8330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 22764 (TX)

Record details

NPI number1598041659
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aaron Blackwelder — President · (254) 772-8330
NPI enumeratedNovember 2, 2011
Last updated in NPPESNovember 2, 2011
Mailing address1121 Lake Air Dr, Waco, TX 76710-4417

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