NPIMap

Organization Active NPI

Ulery Dental and Orthodontics

  • Dentist
  • Crofton, MD
National Provider Identifier
1124081872
Registry record updated Feb 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ULERY DENTAL AND ORTHODONTICS
Practice address
1286 Maryland RT 3 S
Crofton, MD 21114-1340
Phone
(410) 721-8200
Fax
(410) 721-7629
NPI assigned
Apr 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Terri Gardiner
Title
Credentialing Coordinator
Phone
(407) 772-5124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1286 Maryland RT 3 S
Crofton, MD 21114-1340

Mailing address

926 Great Pond Dr
Altamonte Springs, FL 32714-7244
Phone (407) 772-5124

National Provider Directory

National Provider Directory

Locations

926 Great Pond Dr
Altamonte Springs, FL 32714
Phone (407) 772-5119

1286 Maryland Route 3 S
Crofton, MD 21114
Phone (410) 721-8200

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1124081872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 GREAT POND DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327147244",
            "telephone_number": "407-772-5124",
            "fax_number": "407-788-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 MARYLAND RT 3 S",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141340",
            "telephone_number": "410-721-8200",
            "fax_number": "410-721-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULERY DENTAL AND ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2008-02-18",
        "status": "A",
        "authorized_official_last_name": "GARDINER",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "407-772-5124"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.