CHARLES ALEXANDER ULLMAN (NPI# 1083989289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083989289 |
| Entity Type | Individual |
| Full Name | CHARLES ALEXANDER ULLMAN |
| Credential | DMD, MDS |
| Practice Address |
71 Allen St Sutie 204 Rutland VT 05701-4570 |
| Mailing Address |
71 Allen St Suite 204 Rutland VT 05701-4570 |
| Practice Telephone | 8027737767 |
| Mailing Telephone | 8027737767 |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2016-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
016.0087156 | VT | Dental Providers |
| Street Address |
71 ALLEN ST SUTIE 204 |
| City | RUTLAND |
| State | VT |
| Zip Code | 05701-4570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447248299 | Obstetrics,gynecology,infertility P.C. | Obstetrics & Gynecology | 71 Allen St, Suite 402, Rutland, VT 05701-4570 | 2005-10-06 |
| 1063074821 | Allen Pond Dental | Dentist | 71 Allen St, Suite 301, Rutland, VT 05701-4544 | 2019-07-02 |
| 1740755495 | Paul Francis Obrien | Social Worker | 71 Allen St, Rutland, VT 05701-4570 | 2018-10-09 |
| 1992219471 | Lisa E Brown | Social Worker | 71 Allen St, Rutland, VT 05701-4570 | 2017-11-20 |
| 1437587268 | Michelle Ann Wade | Nurse Practitioner | 71 Allen St, Ste 403, Rutland, VT 05701-4570 | 2013-10-14 |
| 1194960625 | Raymond J Cooley | Chiropractor | 71 Allen St, Suite 203, Rutland, VT 05701-4570 | 2008-12-12 |
| 1831382183 | Patrick J. Cooley, D.c., P.t., P.C. | Physical Therapist | 71 Allen St, Suite 203, Rutland, VT 05701-4570 | 2007-08-21 |
| 1558483321 | Southern Vermont Endontics, PC | Dentist | 71 Allen St, Suite 204, Rutland, VT 05701-4570 | 2007-04-04 |
| 1114010881 | David Benjamin Turner | Family Medicine | 71 Allen St, Suite 403, Rutland, VT 05701-4570 | 2006-10-02 |
| 1669578902 | Charles Cornelius Egbert | Family Medicine | 71 Allen St, Suite 203, Rutland, VT 05701 | 2006-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639721186 | All Dimensions Primary Care Pllc | Physician Assistant | 92 Allen Street, Rutland, VT 05701 | 2019-07-15 |
| 1962809053 | Laura Kalinen Laprise | Nurse Practitioner | Rutland Community Health Center, 215 Stratton Road, Rutland, VT 05701 | 2014-12-04 |
| 1962818781 | Andrea Louise Welch | Pharmacist | 1 Rutland Shopping Plaza, Rutland, VT 05701 | 2014-07-02 |
| 1396158903 | Gwendolyn Koenig | Counselor | 78 South Main St., Rutland, VT 05701 | 2014-06-11 |
| 1194088195 | Marcie Bouchard | Early Intervention Provider Agency | 24a East Street, Rutland, VT 05701 | 2012-06-25 |
| 1790047009 | Pamela Lenoci | Massage Therapist | 196 Joshua Place, Rutland, VT 05701 | 2012-06-12 |
| 1528339959 | Deborah E. Boston | Social Worker | 128 Merchants Row Ste 510, Rutland, VT 05701 | 2012-01-17 |
| 1235431834 | Alicia Marie Riesterer | Occupational Therapy Assistant | 46 Nichols St., Rutland Healthcare and Rehabilitation Center, Rutland, VT 05701 | 2010-12-02 |
| 1497085401 | Lauren Ann Lasante | Counselor | 198 N Main St Ste C-5, Rutland, VT 05701 | 2010-01-14 |
| 1568692515 | Steven C. Duboff, Dmd, PC | Dentist | 198 North Main St, Rutland, VT 05701 | 2009-07-23 |
| Find all providers in zip 05701 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558483321 | Southern Vermont Endontics, PC | Dentist | 71 Allen St, Suite 204, Rutland, VT 05701-4570 | 2007-04-04 |
| 1508875675 | Cheryl Lang Ullman | Dentist | 71 Allen St, Suite 204, Rutland, VT 05701-4570 | 2006-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487876371 | Arthur William Harris | Dentist | 22 E View Ln, Suite B, Barre, VT 05641-5317 | 2007-05-02 |
| 1346332582 | Victor L Ratkus | Dentist | 227 Colchester Ave, Burlington, VT 05401-1411 | 2006-09-28 |
| 1275648487 | Vermont Endodontics Pllc | Dentist | 75 Talcott Road, Suite 20, Williston, VT 05495 | 2006-08-20 |
| 1750724084 | Dr, Victor L. Ratkus, Dds, PC | Dentist | 227 Colchester Ave, Burlington, VT 05401-1411 | 2013-04-17 |
| 1457638892 | Upper Valley Endodontics | Dentist | 205 Billings Farm Rd, Suite 6a, White River Junction, VT 05001-5400 | 2011-11-14 |
| 1184892309 | Brooke Blicher | Dentist | 205 Billings Farm Rd, Suite 6a, White River Junction, VT 05001-5400 | 2008-02-11 |
| 1619097268 | Lee Ann Petropulos Whelan | Dentist | 75 Talcott Rd, Suite 20, Williston, VT 05495-8121 | 2007-03-29 |
| 1629198288 | Maribel Barria | Dentist | 75 Talcott Rd, Suite 20, Williston, VT 05495-8121 | 2007-03-29 |
| 1942384979 | Dr. Kenneth J. Stavisky, Ltd. | Dentist | 99 Swift St, Suite 115, South Burlington, VT 05403-7303 | 2006-10-25 |
| 1851404271 | Middlebury Dental Group | Dentist | 1330 Exchange St, Middlebury, VT 05753-4425 | 2006-08-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.