Provider Demographics
NPI:1477533305
Name:WELCH, HAROLD V JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:V
Last Name:WELCH
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3471 SHAKESPEARE LN
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-1656
Mailing Address - Country:US
Mailing Address - Phone:419-843-6609
Mailing Address - Fax:
Practice Address - Street 1:2316 W SYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43613-4429
Practice Address - Country:US
Practice Address - Phone:419-472-2131
Practice Address - Fax:419-472-2139
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH143961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice