DR. VIRGIL ULLOM D.D.S.
NPI 1710021415
Dentist - General Practice in Lake Wales, FL

Q: What is Virgil Ullom's NPI number?

The NPI number for Virgil Ullom is 1710021415. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Q: What is Virgil Ullom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Virgil Ullom was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 16, 2007

1 SCENIC CENTRAL STE 107, LAKE WALES, FL 33853(863) 678-1939 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Virgil Ullom D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VIRGIL ULLOM D.D.S. (NPI 1710021415) is an individual general practice provider in Lake Wales, Florida, licensed in Florida (DN9072) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1710021415

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. VIRGIL ULLOMCredential: D.D.S.

Location Address1 SCENIC CENTRAL STE 107Lake Wales, FL 33853-6107

Mailing Address245 Babson DrBabson Park, FL 33827-9516 · (863) 638-2228

Phone(863) 678-1939

Sole ProprietorYes

Enumeration DateFebruary 16, 2007

Last NPPES UpdateJuly 9, 2007

✔ NPI 1710021415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in FL · DN9072

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1 SCENIC CENTRAL STE 107, Lake Wales, FL 33853

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Virgil Ullom's NPI number?

The NPI number for Virgil Ullom is 1710021415. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Where is Virgil Ullom located?

Virgil Ullom practices at 1 Scenic Central Ste 107, Lake Wales, FL 33853. The listed phone number is (863) 678-1939.

What is Virgil Ullom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Virgil Ullom was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.