MALLORY ANNA ULMER DMD NPI 1649632704

NPI Information

NPI: 1649632704
Provider Name: MALLORY ANNA ULMER, DMD
Classification: Dentist - 1223P0300X
Entity Type: Individual

Specialization: Periodontics

PECOS Registration: Yes

Address:
4106 WAKE FOREST RD STE 100
RALEIGH, NC
ZIP 27609
Phone: (919) 876-2464
Get Directions

Mallory Anna Ulmer, DMD is a periodontics dentist in Raleigh, NC. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. Mallory Anna Ulmer, DMD NPI is 1649632704. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4106 WAKE FOREST RD STE 100
RALEIGH, NC
ZIP 27609-397
Phone: (919) 876-2464

The NPI 1649632704 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 3/27/2016 and was last updated on 10/16/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0300X	Dentist	Periodontics	9547	SOUTH CAROLINA	No
2	1223P0300X	Dentist	Periodontics	13510	NORTH CAROLINA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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