Provider Demographics
NPI:1538040639
Name:WELCH, TOBIE JO (RDH)
Entity type:Individual
Prefix:
First Name:TOBIE
Middle Name:JO
Last Name:WELCH
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 POPLAR ST
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:SD
Mailing Address - Zip Code:57315-2015
Mailing Address - Country:US
Mailing Address - Phone:605-369-2226
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 567
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:SD
Practice Address - Zip Code:57062-0567
Practice Address - Country:US
Practice Address - Phone:605-369-2226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDDH1883124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist