Lance J Welch DMD LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LANCE J WELCH DMD LLC

Practice address

1 Woodgreen PL Ste 100
Madison, MS 39110-8161

Phone

(601) 707-7042

NPI assigned

Apr 28, 2020

Last updated

Apr 28, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lance J Welch, DMD

Title

Owner

Phone

(601) 707-7042

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588032000000",
    "number": "1295356590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WOODGREEN PL STE 100",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391108161",
            "telephone_number": "601-707-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WOODGREEN PL STE 100",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391108161",
            "telephone_number": "601-707-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCE J WELCH DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-707-7042",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.