Healthcare Provider Details

I. General information

NPI: 1316155401
Provider Name (Legal Business Name): FRANK ARTHUR WELCH DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 CRESTONE AVE
ALAMOSA CO
81101-2344
US

IV. Provider business mailing address

PO BOX 738
RYE CO
81069-0738
US

V. Phone/Fax

Practice location:
  • Phone: 719-489-2067
  • Fax: 719-489-2068
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberHD00460
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: