CHARLES ALEXANDER ULLMAN DMD MDS NPI 1083989289

NPI Information

  • NPI: 1083989289
  • Provider Name: CHARLES ALEXANDER ULLMAN, DMD, MDS
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 71 ALLEN ST
    SUTIE 204
    RUTLAND, VT
    ZIP 05701
  • Phone: (802) 773-7767

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NPI Details

Charles Alexander Ullman, DMD, MDS is an endodontics dentist in Rutland, VT. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. Charles Alexander Ullman, DMD, MDS NPI is 1083989289. 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:

71 ALLEN ST
SUTIE 204
RUTLAND, VT
ZIP 05701-570
Phone: (802) 773-7767

The NPI 1083989289 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 3/21/2012 and was last updated on 7/21/2016.

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
11223E0200XDentistEndodontics016.0087156VERMONTYes

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: 11/21/2025

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