Provider Demographics
NPI:1417135112
Name:DONALD R. WELSH, JR. D.M.D.,P.L.L.C
Entity Type:Organization
Organization Name:DONALD R. WELSH, JR. D.M.D.,P.L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:R
Authorized Official - Last Name:WELSH
Authorized Official - Suffix:JR
Authorized Official - Credentials:DMD
Authorized Official - Phone:603-436-2144
Mailing Address - Street 1:320 UNION ST
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-5052
Mailing Address - Country:US
Mailing Address - Phone:603-436-2144
Mailing Address - Fax:
Practice Address - Street 1:320 UNION ST
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-5052
Practice Address - Country:US
Practice Address - Phone:603-436-2144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2064122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30003323Medicaid