Provider Demographics
NPI:1235242512
Name:WELKIE, ANDREW V (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:V
Last Name:WELKIE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 ADELIA ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17057
Mailing Address - Country:US
Mailing Address - Phone:717-944-3311
Mailing Address - Fax:717-944-6371
Practice Address - Street 1:244 ADELIA ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:PA
Practice Address - Zip Code:17057
Practice Address - Country:US
Practice Address - Phone:717-944-3311
Practice Address - Fax:717-944-6371
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0228536122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist