Provider Demographics
NPI:1194809764
Name:WELCH JR., WILLIAM PRESTON (DDS)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:PRESTON
Last Name:WELCH JR.
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7121 HIGHLAND RD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-6606
Mailing Address - Country:US
Mailing Address - Phone:225-769-7640
Mailing Address - Fax:225-769-8116
Practice Address - Street 1:7121 HIGHLAND RD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-6606
Practice Address - Country:US
Practice Address - Phone:225-769-7640
Practice Address - Fax:225-769-8116
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA36071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice