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Dr. Virgil Ullom, DDS
General Practice Dentistry in Lake Wales, Florida
NPI 1710021415

Virgil Ullom is a General Practice Dentistry based in Babson Park, FL and is specialized in General Practice. Virgil Ullom practices in Lake Wales, FL and has the professional credentials of DDS. The NPI Number for Virgil Ullom is 1710021415 and holds a License No. DN9072 (Florida).

The current practice location address for Virgil Ullom is 1 Scenic Central Ste 107, Lake Wales, FL and can be reached out via phone at 863-678-1939.

Location: 1 Scenic Central Ste 107, Lake Wales, FL, 33827-9516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710021415
Provider Name
Virgil Ullom
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1 Scenic Central Ste 107, Lake Wales, FL, 33827-9516
Phone Number
863-678-1939
Fax Number
Provider Enumeration Date
02/16/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1 Scenic Central Ste 107
City
Lake Wales
State
Florida
Zip
33853-6107
Phone Number
863-678-1939
Fax Number
person
Provider Business Mailing Address Details
Address
1 Scenic Central Ste 107
City
Lake Wales
State
Florida
Zip
33853-6107
Phone Number
863-678-1939
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DN9072 (Florida)
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.
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