Provider Demographics
NPI:1831325430
Name:WELCH, LAUREN KURPIS (DDS)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:KURPIS
Last Name:WELCH
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 1:545 ROUTE 17
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-2097
Mailing Address - Country:US
Mailing Address - Phone:201-447-9700
Mailing Address - Fax:
Practice Address - Street 1:545 ROUTE 17
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-2097
Practice Address - Country:US
Practice Address - Phone:201-447-9700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-09
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI024332001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice