Waco Kids Dental Pc is a Pediatric Dental Clinic in Waco, Texas. It is located at 1121 Lake Air Dr, Waco, TX and its contact number is 254-772-8330. The authorized person for Waco Kids Dental Pc is Aaron Blackwelder
who is President of the clinic and their contact number is 254-772-8330. The primary license number for Waco Kids Dental Pc is 22764 (Pediatric Dentistry) in Texas.
Waco Kids Dental Pc Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Waco Kids Dental Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Waco Kids Dental Pc |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 1121 Lake Air Dr, Waco,
Texas, 76710-4417 |
| Phone: | 254-772-8330 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Aaron Blackwelder |
| Position: | President |
| Contact Number: | 254-772-8330 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Waco Kids Dental Pc clinic are as mentioned below.
| NPI Number: | 1598041659 |
| NPI Enumeration Date: | 02 Nov, 2011 |
| NPI Last Update On: | 02 Nov, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Waco Kids Dental Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | 22764 | Texas | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Waco Kids Dental Pc
1121 Lake Air Dr,
Waco, Texas |
| Zip: | 76710-4417 |
| Phone Number: | 254-772-8330 |
Patients can reach Waco Kids Dental Pc at
1121 Lake Air Dr, Waco, Texas or can
call to book an appointment on 254-772-8330.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.