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NPI Code Detail

MEDICARE: DR. PATRICK JOHN WELSH DDS

MEDICARE: DR. PATRICK JOHN WELSH DDS
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
11223G0001XGeneral Practice Dentistry036874NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932138914
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK JOHN WELSH DDS
Provider Business Mailing Address
First Line : 1500 CLINTON AVE S
Second Line :
City : ROCHESTER
State : NY
Zip : 14620-2011
Country : US
Telephone Number : 585-442-1484
Fax Number :
Provider Business Practice Location Address
First Line : 1500 CLINTON AVE S
Second Line :
City : ROCHESTER
State : NY
Zip : 14620-2011
Country : US
Telephone Number : 585-442-1484
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2006
Last Update Date : 07/08/2007

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