Provider Demographics
NPI:1194181032
Name:ASHLEY SCHWARK ULRICH, DDS, PLLC
Entity Type:Organization
Organization Name:ASHLEY SCHWARK ULRICH, DDS, PLLC
Other - Org Name:ASHLEY SCHWARK, BORIOTTI & SCHWARK DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:SC
Authorized Official - Last Name:ULRICH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:425-503-9544
Mailing Address - Street 1:10709 BEARDSLEE BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-3280
Mailing Address - Country:US
Mailing Address - Phone:425-486-8666
Mailing Address - Fax:
Practice Address - Street 1:10709 BEARDSLEE BLVD STE 101
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-3280
Practice Address - Country:US
Practice Address - Phone:425-486-8666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-07
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE60237855122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty