Provider Demographics
NPI:1588758916
Name:ULMER, ASHLEY L (DDS PLLC)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:L
Last Name:ULMER
Suffix:
Gender:F
Credentials:DDS PLLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9708 N NEVADA ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-6004
Mailing Address - Country:US
Mailing Address - Phone:509-468-3233
Mailing Address - Fax:
Practice Address - Street 1:9708 N NEVADA ST
Practice Address - Street 2:SUITE 101
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-6004
Practice Address - Country:US
Practice Address - Phone:509-468-3233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE 0009875122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist