Edward Paul Ulrich Jr., D.D.S.

Individual provider Active NPI General Practice Dentistry · Hardy, VA

NPI 1528174703 · NPPES record last updated Jul 8, 2007

Key facts

NPI: 1528174703
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Dentistry 1223G0001X
License: 05497 (VA)
Practice address: 13245 Booker T Washington Hwy
Ste D
Hardy, VA 24101-3947
Phone: (540) 721-2448
Fax: (540) 721-3215
NPI assigned: Aug 21, 2006
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Harvey Dentistry SML PC Dental Clinic/Center · Hardy, VA · NPI 1811187883

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
05497	VA	MD	General Practice Dentistry

Practice roles

Organization	Specialty	Status	New patients
Harvey Dentistry SML PC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry	1223G0001X	05497	VA	Yes

Addresses

Primary practice location

13245 Booker T Washington Hwy
Ste D
Hardy, VA 24101-3947

Mailing address

13245 Booker T Washington Hwy
Ste D
Hardy, VA 24101-3947
Phone (540) 721-2448

Other providers in Hardy, VA

All providers in Hardy, VA · General Practice Dentistry in Virginia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.