John Robert Ulloa in Union Grove - Dentist
John Robert Ulloa - NPI 1871759985
John Robert Ulloa is a Dentist in Union Grove, Wisconsin. John Robert Ulloa practices all healthcare services and medical treatments related to Dentist. The NPI Number for John Robert Ulloa is 1871759985. The last update date is 2008-07-29.
John Robert Ulloa's current location address is 1680 15th Ave, Union Grove, Wisconsin. You can contact this provider via phone number 2628781500 and fax number 2628784782. The mailing address for John Robert Ulloa is 1680 15th Ave, Union Grove, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Robert Ulloa |
|---|---|
| Address | 1680 15th Ave, Union Grove, Wisconsin |
| Phone Number | 2628781500 |
| Fax Number | 2628784782 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1871759985 |
|---|---|
| Provider Enumeration Date | 2008-07-29 |
| Last Updated Date | 2008-07-29 |
Provider Mailing Address Detail
| Address | 1680 15th Ave |
|---|---|
| City | Union Grove |
| State | Wisconsin (WI) |
| Post Code | 531821525 |
| Phone Number | 2628781500 |
| Fax Number | 2628784782 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 4398 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 391841902 | WI | TAX ID |
Post Comment/ Review Below
What is the unique provider identifier assigned to John Robert Ulloa?
The John Robert Ulloa has been issued the NPI (National Provider Identifier) 1871759985 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where John Robert Ulloa's facilities are geographically located?
The facilities of John Robert Ulloa are physically situated at the following location: 1680 15Th Ave, Union Grove, WI, 531821525.
What is the area of specialization for John Robert Ulloa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for John Robert Ulloa is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
When was the John Robert Ulloa's 1871759985 issued?
The John Robert Ulloa's 1871759985 was issued on 2008-07-29.
As of what date was the information regarding John Robert Ulloa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John Robert Ulloa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-07-29.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC