DR. CLAUS JOHAN ULLSTAD DDS MS MMS NPI 1023467289

NPI Information

  • NPI: 1023467289
  • Provider Name: DR. CLAUS JOHAN ULLSTAD, DDS, MS, MMS
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: BUDGE DENTAL CLINIC
    3145 GARDEN AVE #1278
    FORT SAM HOUSTON, TX
    ZIP 78234
  • Phone: (210) 808-2434

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NPI Details

DR. Claus Johan Ullstad, DDS, MS, MMS is a periodontics dentist in Fort Sam Houston, TX. 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. DR. Claus Johan Ullstad, DDS, MS, MMS NPI is 1023467289. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

BUDGE DENTAL CLINIC
3145 GARDEN AVE #1278
FORT SAM HOUSTON, TX
ZIP 78234
Phone: (210) 808-2434

The NPI 1023467289 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 6/8/2016 and was last updated on 9/10/2024.

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
11223P0300XDentistPeriodontics0401416394VIRGINIAYes

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: 3/30/2025

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