Charles Alexander Ullman, DMD, MDS in Rutland, VT - Medicare Dentist Provider

Charles Alexander Ullman, DMD, MDS is a medicare enrolled "Dentist - Endodontics" provider in Rutland, Vermont. His current practice location is 71 Allen St, Sutie 204, Rutland, Vermont. You can reach out to his office (for appointments etc.) via phone at (802) 773-7767.

Charles Alexander Ullman is licensed to practice in Vermont (license number 016.0087156) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083989289.

Contact Information

	Charles Alexander Ullman, DMD, MDS
	71 Allen St, Sutie 204, Rutland, VT 05701-4570
	(802) 773-7767
	Not Available

Healthcare Provider's Profile

Full Name	Charles Alexander Ullman
Gender	Male
Speciality	Dentist - Endodontics
Location	71 Allen St, Rutland, Vermont
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083989289
Provider Enumeration Date: 03/21/2012
Last Update Date: 07/21/2016

Medicare PECOS Information:

PECOS PAC ID: 2961785720
Enrollment ID: I20170202000397

Medical Identifiers

Medical identifiers for Charles Alexander Ullman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083989289	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223E0200X	Dentist - Endodontics	016.0087156 (Vermont)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles Alexander Ullman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Charles Alexander Ullman, DMD, MDS 71 Allen St, Suite 204, Rutland, VT 05701-4570 Ph: (802) 773-7767	Charles Alexander Ullman, DMD, MDS 71 Allen St, Sutie 204, Rutland, VT 05701-4570 Ph: (802) 773-7767

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Dentist in Rutland, VT

Dr. Alison Landgraf, DMD Dentist Medicare: Medicare Enrolled Practice Location: 69 Allen St Ste 10, Rutland, VT 05701 Phone: 802-774-5050
Ms. Sherilynn Stofka, DDS Dentist Medicare: Accepting Medicare Assignments Practice Location: 66 N Main St, Rutland, VT 05701 Phone: 802-775-9700 Fax: 802-775-3237
Mohammed Shakarchi, Dentist Medicare: Medicare Enrolled Practice Location: 69 Allen St Ste 10, Rutland, VT 05701 Phone: 802-774-5050
Dr. Thomas L. Opsahl, DMD Dentist Medicare: Medicare Enrolled Practice Location: 4 General Wing Rd, Rutland, VT 05701 Phone: 802-775-0819 Fax: 802-775-1487
Dr. George Michael Ciavola, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 6 Roberts Ave, Rutland, VT 05701 Phone: 802-773-0822
Rachel Foster Rivard, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 69 Allen St Ste 10, Rutland, VT 05701 Phone: 802-774-5050

Charles Alexander Ullman, DMD, MDS - Medicare Dentist in Rutland, VT