Maxtown Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23789 Issued in OH

Legal business name

MAXTOWN FAMILY DENTAL

Practice address

925 N State St
Suite D
Westerville, OH 43082-8023

Phone

(419) 681-0337

NPI assigned

Mar 11, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Eric M Ulm, D.D.S

Title

Owner

Phone

(419) 681-0337

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1275926537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N STATE ST",
            "address_2": "SUITE D",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 N STATE ST",
            "address_2": "SUITE D",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828023",
            "telephone_number": "419-681-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXTOWN FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "ULM",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-681-0337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "23789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Matlack, LISW-S
• Taylor Morgan Matthews, LPC
• Gina Maurizi
• Jacob J Mavko
• Tapiwanashe Mavunga
• Natalie May
• Valerie Elizabeth Mazzolini, DPT
• Jenna McAndrew
• Amanda McBride, MA, LPC
• Cynthia J McCafferty

• General Practice Dentistry in Westerville, OH
• Providers in Westerville, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.