MEDICARE: ASHLEY L ULMER DDS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center	DE 00009875	WA

General Provider Information

NPI Number	:	1376950774
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASHLEY L ULMER DDS PLLC

Provider Business Mailing Address
First Line	:	9708 N NEVADA ST
Second Line	:	SUITE 101
City	:	SPOKANE
State	:	WA
Zip	:	99218-6004
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9708 N NEVADA ST
Second Line	:	SUITE 101
City	:	SPOKANE
State	:	WA
Zip	:	99218-6004
Country	:	US
Telephone Number	:	509-468-3233
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ASHLEY L ULMER
Credential	:	DDS
Telephone Number	:	509-468-3233

Provider Enumeration Date	:	07/17/2014
Last Update Date	:	07/17/2014

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