Ulrich Lake is a Pediatric Dentistry in Madison, Wisconsin. Ulrich Lake practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Ulrich Lake is 1821187683. The last update date is 2007-07-08.
Ulrich Lake's current location address is 100 River Place, Madison, Wisconsin. You can contact this provider via phone number 6082226160 and fax number 6082226248. The mailing address for Ulrich Lake is 100 River Place, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ulrich Lake |
|---|---|
| Address | 100 River Place, Madison, Wisconsin |
| Phone Number | 6082226160 |
| Fax Number | 6082226248 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1821187683 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 100 River Place |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 53716 |
| Phone Number | 6082226160 |
| Fax Number | 6082226248 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 4288015 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33762600 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Ulrich Lake by the Centers for Medicare & Medicaid Services?
The Ulrich Lake has been assigned the NPI (National Provider Identifier) 1821187683 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Ulrich Lake's facilities are geographically located?
The facilities of Ulrich Lake are physically situated at the following location: 100 River Place, Madison, WI, 53716.
What is Ulrich Lake's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Ulrich Lake is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.
On what date did the Ulrich Lake receive its 1821187683 assignment from the Centers for Medicare & Medicaid Services?
The Ulrich Lake was assigned its 1821187683 by the Centers for Medicare & Medicaid Services on 2006-10-12.
As of what date were the details related to Ulrich Lake most recently updated or revised?
The information pertaining to Ulrich Lake, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN