| Ultra Dental | |
|
233 Pauline Drive York PA 17402 | |
| (717) 741-5707 | |
| (717) 741-5505 |
| Full Name | Ultra Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 233 Pauline Drive, York, Pennsylvania |
| Authorized Official Name and Position | Sheila Ann Gphn (EFDA/) |
| Authorized Official Contact | 7177415707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ultra Dental 233 Pauline Drive York PA 17402 Ph: (717) 741-5707 | Ultra Dental 233 Pauline Drive York PA 17402 Ph: (717) 741-5707 |
| NPI Number | 1275905614 |
|---|---|
| Provider Enumeration Date | 10/26/2015 |
| Last Update Date | 10/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275905614 | NPI | - | NPPES |
| 102032866001 | Other | PA | PROMISE ID |
| 1020328750 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS024334L (Pennsylvania) | Primary |
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