Provider Demographics
NPI:1366453292
Name:WELSH, SHARON ANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:ANN
Last Name:WELSH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 PEOPLES PLAZA
Mailing Address - Street 2:SUITE 207 THE WELSH DENTAL GROUP
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702
Mailing Address - Country:US
Mailing Address - Phone:302-836-3711
Mailing Address - Fax:302-836-3488
Practice Address - Street 1:1400 PEOPLES PLAZA
Practice Address - Street 2:SUITE 207 THE WELSH DENTAL GROUP
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702
Practice Address - Country:US
Practice Address - Phone:302-836-3711
Practice Address - Fax:302-836-3488
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEG10001072122300000X
MD09492122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1000034282Medicaid
MD09492OtherSTATE LICENSES
DEG10001072OtherSTATE LICENSES