Mallory Anna Ulmer, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

13510 Issued in NC

Practice address

7028 Wrightsville Ave
Wilmington, NC 28403-3655

Phone

(910) 256-8486

NPI assigned

Mar 27, 2016

Last updated

Feb 1, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Lane and Associates XII DDS PA

  • General Practice Dentistry
  • Raleigh, NC
  • NPI 1811041700
  NPD
• Deana C Cook, DDS, Ms, PLLC

  • Periodontics
  • Wilmington, NC
  • NPI 1497160212
  NPD (past)
• Phyllis B. Cook, DDS, PA

  • Periodontics
  • Wilmington, NC
  • NPI 1790812063
  NPD (past)
• Palmetto Dental Arts, LLC

  • General Practice Dentistry
  • Bluffton, SC
  • NPI 1114665619
  NPD (past)
• Palmetto Dental Arts, PA

  • Dentist
  • Bluffton, SC
  • NPI 1316036676
  NPD (past)

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

{
    "created_epoch": "1459036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738368000000",
    "number": "1649632704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4106 WAKE FOREST RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096397",
            "telephone_number": "919-876-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7028 WRIGHTSVILLE AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033655",
            "telephone_number": "910-256-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULMER",
        "first_name": "MALLORY",
        "middle_name": "ANNA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-27",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "SC",
            "license": "9547",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NC",
            "license": "13510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Collins Tyndall, OT
• Emily Tyndall, PHARM.D.
• Chester J Tyson IV, DDS
• Michaela Barker Tyson
• Erica Lynn Udall, FNP-C
• Melissa Bitto Ulstad, PA-C
• Richard Douglas Ulstad, PAC
• Ultimate Support Services
• Ultra Beauty and Braids (Catrinna Johnson)
• Alexandra N Umstead, LCSW

• Periodontics in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Periodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.