Blake C Wullbrandt

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

3257 Issued in NH

Legal business name

BLAKE C WULLBRANDT

Doing business as

Children's Dental Care

Practice address

113 Railroad St
Keene, NH 03431-3747

Phone

(603) 357-6385

Fax

(603) 357-6960

NPI assigned

Jul 11, 2006

Last updated

Jun 12, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Blake Chester Wullbrandt, DDSNPI 1891720967

Title

Owner

Phone

(603) 357-6385

Specialties & licenses 1

Addresses

Other names 1

• Children's Dental Care Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Blake Chester Wullbrandt, DDS

  • Pediatric Dentistry
  • Keene, NH
  • NPI 1891720967
  NPD (past) Authorized official
• Zachariah Charles Wullbrandt

  • Pediatric Dentistry
  • Keene, NH
  • NPI 1487304317
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1700811734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 RAILROAD ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313747",
            "telephone_number": "603-357-6385",
            "fax_number": "603-357-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 RAILROAD ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313747",
            "telephone_number": "603-357-6385",
            "fax_number": "603-357-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKE C WULLBRANDT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "WULLBRANDT",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "CHESTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-357-6385",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NH",
            "license": "3257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bio-Medical Applications of New Hampshire, Inc. (Monadnock Dialysis Center)
• Dawn Bishop
• Robert Keith Blackwood Jr., R.PH.
• Anna Blad
• Lori Blair
• Jacques H. Blanchet, MD
• Dhara R Blanchette
• Melody Blanchette, A.S, RMA
• Bloom Psychiatry PLLC
• Shelly L Blouin-Andrus

• Pediatric Dentistry in Keene, NH
• Providers in Keene, NH by specialty
• Pediatric Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.