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NPI Code Detail

MEDICARE: DR. CHARLES DANIEL WELCH JR. DMD

MEDICARE:  DR. CHARLES DANIEL WELCH JR. DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry1973SC

General Provider Information

NPI Number : 1376625038
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLES DANIEL WELCH JR. DMD
Provider Business Mailing Address
First Line : 1343 2ND LOOP RD
Second Line :
City : FLORENCE
State : SC
Zip : 29505-2841
Country : US
Telephone Number : 843-665-8176
Fax Number : 843-665-2601
Provider Business Practice Location Address
First Line : 1343 2ND LOOP RD
Second Line :
City : FLORENCE
State : SC
Zip : 29505-2841
Country : US
Telephone Number : 843-665-8176
Fax Number : 843-665-2601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2006
Last Update Date : 07/08/2007

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Directions to “ DR. CHARLES DANIEL WELCH JR. DMD” Practice Location

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