Healthcare Provider Details

I. General information

NPI: 1437201316
Provider Name (Legal Business Name): THE WELSH DENTAL GROUP, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 02/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 PEOPLES PLZ SUITE 207
NEWARK DE
19702-5707
US

IV. Provider business mailing address

1400 PEOPLES PLZ SUITE 207
NEWARK DE
19702-5707
US

V. Phone/Fax

Practice location:
  • Phone: 302-836-3711
  • Fax: 302-836-3488
Mailing address:
  • Phone: 302-836-3711
  • Fax: 302-836-3488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberG10001072
License Number StateDE

VIII. Authorized Official

Name: DR. SHARON A. WELSH
Title or Position: DENTIST
Credential: D.D.S.
Phone: 302-836-3711