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ULTRA DENTAL I LLC NPI 1275905614


NPI Information

NPI: 1275905614
Provider Name: ULTRA DENTAL I, LLC

Doing Business As: ULTRA DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
233 PAULINE DRIVE
YORK, PA
ZIP 17402
Phone: (717) 741-5707
Get Directions

ULTRA DENTAL I, LLC is a general practice dentist in York, PA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. ULTRA DENTAL I, LLC NPI is 1275905614. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ultra Dental.

The provider's business location address is:

233 PAULINE DRIVE
YORK, PA
ZIP 17402
Phone: (717) 741-5707
Fax: (717) 741-5505

The provider's authorized official is Sheila Ann Gphn .
The authorized official title is Efda/ and has the following contact phone number (717) 741-5707.

The enumeration date for this NPI number is 10/26/2015 and was last updated on 10/26/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeDS024334LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1102032866001OTHERPENNSYLVANIAPROMISE ID
2102032866001MEDICARE UPINPENNSYLVANIA
31020328750MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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