Cary W. Ulbrich, DDS, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE015174 Issued in MO

Legal business name

CARY W. ULBRICH, DDS, LLC

Practice address

308 Noonan Dr
Suite E
Pacific, MO 63069-1118

Phone

(636) 257-5155

Fax

(636) 257-5255

NPI assigned

Jun 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Cary W Ulbrich, DDSNPI 1811046584

Title

Owner

Phone

(636) 257-5155

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Cary William Ulbrich, DDS

  • General Practice Dentistry
  • Pacific, MO
  • NPI 1811046584
  NPD (past) Authorized official

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174728422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 NOONAN DR",
            "address_2": "SUITE E",
            "city": "PACIFIC",
            "state": "MO",
            "postal_code": "630691118",
            "telephone_number": "636-257-5155",
            "fax_number": "636-257-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 NOONAN DR",
            "address_2": "SUITE E",
            "city": "PACIFIC",
            "state": "MO",
            "postal_code": "630691118",
            "telephone_number": "636-257-5155",
            "fax_number": "636-257-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARY W. ULBRICH, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ULBRICH",
        "authorized_official_first_name": "CARY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-257-5155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "DE015174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Pacific, MO
• Providers in Pacific, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.