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 provides 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 Not confirmed with CMS for 14 years — call before visiting
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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