MEDICARE: TEMPLE KIDS DENTAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	22764	TX

General Provider Information

NPI Number	:	1568907269
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEMPLE KIDS DENTAL

Provider Business Mailing Address
First Line	:	2122 BIRDCREEK DR
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76502-1020
Country	:	US
Telephone Number	:	254-771-5701
Fax Number	:	254-771-5770

Provider Business Practice Location Address
First Line	:	2122 BIRDCREEK DR
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76502-1020
Country	:	US
Telephone Number	:	254-771-5701
Fax Number	:	254-771-5770

Authorized Official
Title or Position	:	OWNER
Name	:	DR. AARON C BLACKWELDER
Credential	:	DDS
Telephone Number	:	254-771-5701

Provider Enumeration Date	:	01/04/2017
Last Update Date	:	01/04/2017

Similar Medicare Providers

1124509971 — ELLIS GROUP COUNSELING
Practice Location Address:

2118 BIRDCREEK DR STE 100
TEMPLE, TX
76502-1020

Practice Phone: 254-300-6313
Practice Fax:

1235130170 — ODYSSEY HEALTHCARE OPERATING A LP
Practice Location Address:

2114 BIRDCREEK DRIVE
TEMPLE, TX
76502-1020

Practice Phone: 254-773-4600
Practice Fax: 254-773-4686

1588783880 — JOSEPH R. RAUB, JR., D.M.D., M.SC.D., P.A.
Practice Location Address:

2122 BIRDCREEK DR
TEMPLE, TX
76502-1020

Practice Phone: 254-771-5701
Practice Fax: 254-771-5770

1265823991 — EMILY KATHRYN SYKES MA, LPC, LMFT-A
Practice Location Address:

2118 BIRDCREEK DR STE 100
TEMPLE, TX
76502-1020

Practice Phone: 254-300-6313
Practice Fax:

1144775040 — RITA CHRISTINA HERRERA LPC
Practice Location Address:

2118 BIRDCREEK DR STE 100
TEMPLE, TX
76502-1020

Practice Phone: 254-598-2266
Practice Fax: 254-613-5076

1255828596 — MONARCH KIDS COUNSELING
Practice Location Address:

2118 BIRDCREEK DR STE 100
TEMPLE, TX
76502-1020

Practice Phone: 254-598-2266
Practice Fax:

Directions to “TEMPLE KIDS DENTAL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.