Provider Demographics
NPI:1013540442
Name:ULYSSES VARGAS DDS PLLC
Entity Type:Organization
Organization Name:ULYSSES VARGAS DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING AND INSURANCE SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-747-8779
Mailing Address - Street 1:2700 S SOUTHEAST BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-4984
Mailing Address - Country:US
Mailing Address - Phone:509-747-8779
Mailing Address - Fax:509-562-3043
Practice Address - Street 1:2700 S SOUTHEAST BLVD STE 101
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-4984
Practice Address - Country:US
Practice Address - Phone:509-747-8779
Practice Address - Fax:509-562-3043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-13
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental