Skip Navigation

Provider Information for 1174885180

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

JONATHAN H WELCH DMD

Gender: MALE

Individual NPI: 1174885180

Calendar   Last Updated:  2020-09-15
  Certification Date:  2020-09-15

Details

Name Value
NPI 1174885180
Enumeration Date 2012-06-14
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 10420 DECATUR BLVD STE 110
LAS VEGAS, NV 89141-8718
United States

Phone: 702-527-4644 | Fax:
View Map External Link
Primary Practice Address 10420 DECATUR BLVD STE 110 SUITE 110
LAS VEGAS, NV 89141-8718
United States

Phone: 702-527-4644 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist NV 6289
No 122300000X - Dentist MT 4130