Ultra Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ULTRA DENTAL LLC

Practice address

731 E Union Hills Dr Ste B7
Phoenix, AZ 85024-2910

Phone

(602) 613-8004

Fax

(602) 613-8009

NPI assigned

Mar 22, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Bobby Yasso, DMD

Title

Dentist

Phone

(602) 613-8004

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1851094528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8612 W MELINDA LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822499",
            "telephone_number": "602-613-8004",
            "fax_number": "602-613-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 E UNION HILLS DR STE B7",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850242910",
            "telephone_number": "602-613-8004",
            "fax_number": "602-613-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "YASSO",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "602-613-8004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Ulrich
• Richard Ulrich, M.D.
• Scott Alan Ulrick, D.C.
• Ultimate Analysis Labs, LLC
• Ultimate Medical Equipment Inc.
• Ultra Dental Metro LLC
• Ultra Med Trans LLC
• Ultrasound Institute Medical Group
• Ultrasound Institute Medical Group, Inc.
• Mikhaela Ultreras

• Dentist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.