Ultra Dental I, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS024334L Issued in PA

Legal business name

ULTRA DENTAL I, LLC

Practice address

233 Pauline Drive
York, PA 17402

Phone

(717) 741-5707

Fax

(717) 741-5505

NPI assigned

Oct 26, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Sheila Ann GPHN, EFDA

Title

Efda/

Phone

(717) 741-5707

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ultra Dental Doing business as

Locations

Practitioners 2

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

• Thomas Brooksbank, DDS

  • Dentist
  • York, PA
  • NPI 1598945792
  NPD (past)
• Natalie M. Sorbello, DDS

  • Dentist
  • York, PA
  • NPI 1144577735
  NPD (past)

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1275905614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 PAULINE DRIVE",
            "city": "YORK",
            "state": "PA",
            "postal_code": "17402",
            "telephone_number": "717-741-5707",
            "fax_number": "717-741-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 PAULINE DRIVE",
            "city": "YORK",
            "state": "PA",
            "postal_code": "17402",
            "telephone_number": "717-741-5707",
            "fax_number": "717-741-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA DENTAL I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "GPHN",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EFDA/",
        "authorized_official_telephone_number": "717-741-5707",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "EFDA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS024334L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROMISE ID",
            "identifier": "102032866001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020328750",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ultra Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Uberti
• Nabil Uddin
• Sahel Uddin, DO
• Jeannine Michelle Uhler, P.T.
• William H Ulmer Jr., DO
• Uma Behavioral Health
• Gerald Uniacke
• Universal Community Behavioral Health Inc
• William M. Unwin, M.D.
• Asit P Upadhyay, D.O.

• General Practice Dentistry in York, PA
• Providers in York, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.