MEDICARE: DR. KATHRYN WELCH DDS, MSD

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
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	30.025898	OH
2	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	12012731A	IN

General Provider Information

NPI Number	:	1780235374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHRYN WELCH DDS, MSD

Provider Business Mailing Address
First Line	:	4717 OLD MILL RD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46807-2925
Country	:	US
Telephone Number	:	260-417-5623
Fax Number	:

Provider Business Practice Location Address
First Line	:	223 E TILLMAN RD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46816-1079
Country	:	US
Telephone Number	:	260-447-2568
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2019
Last Update Date	:	09/25/2019

Similar Medicare Providers

1588932644 — DR. BRANDON C. PARRISH D.D.S., M.S.D.
Practice Location Address:

223 E TILLMAN RD
FORT WAYNE, IN
46816-1079

Practice Phone: 260-447-2568
Practice Fax: 260-447-1601

1962019984 — DR. LEAH STETZEL
Practice Location Address:

223 E TILLMAN RD
FORT WAYNE, IN
46816-1079

Practice Phone: 260-447-2568
Practice Fax:

1538948013 — KENDRICA DESHAWN ROBERTS LCDC, LPC
Practice Location Address:

2408 SAGAMORE ST
FORT WORTH, TX
76179-1079

Practice Phone: 940-255-7665
Practice Fax: 682-334-7365

1629169073 — MRS. CHRISTINE DRYLAK GUY M.S., CMHP
Practice Location Address:

1079 TREE POINT DR
FORT WALTON BEACH, FL
32547-1898

Practice Phone: 850-864-5400
Practice Fax: 854-864-5473

1548005655 — KEEP THRIVING
Practice Location Address:

2408 SAGAMORE ST
FORT WORTH, TX
76179-1079

Practice Phone: 940-255-7665
Practice Fax:

1508717547 — HA SAN
Practice Location Address:

1201 FARWOOD AVE
FORT WAYNE, IN
46816-1211

Practice Phone: 260-564-1374
Practice Fax:

Directions to “ DR. KATHRYN WELCH DDS, MSD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.