DEREK R BLACKWELDER DMD PLLC NPI 1427099233

NPI Information

  • NPI: 1427099233
  • Provider Name: DEREK R BLACKWELDER DMD PLLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: WINNISQUAM DENTAL
  • Address: 944 LACONIA ROAD
    WINNISQUAM, NH
    ZIP 03289
  • Phone: (603) 528-1212

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NPI Details

DEREK R BLACKWELDER DMD PLLC is a general practice dentist in Winnisquam, NH. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DEREK R BLACKWELDER DMD PLLC NPI is 1427099233. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Winnisquam Dental.

The provider's business location address is:

944 LACONIA ROAD
WINNISQUAM, NH
ZIP 03289-020
Phone: (603) 528-1212
Fax: (603) 528-1320

The provider's authorized official is Derek R Blackwelder .
The authorized official title is Dentist / Owner and has the following contact phone number (603) 528-1212.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 1/9/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeNEW HAMPSHIREYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1685235OTHERNEW HAMPSHIREUNITED CONCORDIA
230316266MEDICAIDNEW HAMPSHIRE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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