Dane Welch, D.D.S.
Individual provider Active NPI General Practice Dentistry · Fritch, TX
NPI 1780899112 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1780899112
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 013152 (TX)
- Practice address
- 405 West Broadway
Fritch, TX 79036-1805 - Phone
- (806) 857-3389
- Fax
- (806) 857-9186
- NPI assigned
- May 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fritch Dental Group, PLLC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 013152 | TX | Yes |
Addresses
Primary practice location
405 West Broadway
Fritch, TX 79036-1805
Mailing address
PO Box 1805
Fritch, TX 79036-1805
Phone (806) 857-3389
Other providers in Fritch, TX
All providers in Fritch, TX · General Practice Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.