Dr Derek Reade Blackwelder, DMD | |
944 Laconia Road, Winnisquam, NH 03289 | |
(603) 528-1212 | |
(603) 528-1320 |
Full Name | Dr Derek Reade Blackwelder |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 944 Laconia Road, Winnisquam, New Hampshire |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568459956 | NPI | - | NPPES |
24636371 | Medicaid | NM | |
3070586 | Medicaid | NH | |
945719 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 03600 (New Hampshire) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Derek Reade Blackwelder, DMD Po Box 1020, Winnisquam, NH 03289-1020 Ph: (603) 528-1212 | Dr Derek Reade Blackwelder, DMD 944 Laconia Road, Winnisquam, NH 03289 Ph: (603) 528-1212 |
Dr. Kristine Ep Blackwelder, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 944 Laconia Road, Winnisquam, NH 03289 Phone: 603-528-1212 Fax: 603-528-1320 | |
Dr. Jared Knighton, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 944 Laconia Rd, Winnisquam, NH 03289 Phone: 603-528-1212 |