Charles Alexander Ullman
Endodontist
71 Allen St Sutie 204
Rutland
, Vermont 05701-4570
Charles Alexander Ullman
Endodontist
71 Allen St Sutie 204
Rutland
, Vermont 05701-4570
(802) 773-7767
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Charles Alexander Ullman
- 71 Allen St Suite 204
- Rutland, VT
- Zip : 05701-4570
- Phone : (802) 773-7767
Second Address
- Charles Alexander Ullman
- 71 Allen St Sutie 204
- Rutland, VT
- Zip : 05701-4570
- Phone : (802) 773-7767
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | 016.0087156 | VT |
National Provider Identifier
| NPI | 1083989289 |
|---|---|
| Provider Name | Charles Alexander Ullman |
| First Address | Rutland, VT 05701-4570 |
| Second Address | Rutland, VT 05701-4570 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/03/2012 |
| Last Update Date | 21/07/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.