Provider Demographics
NPI:1013270016
Name:ULM, ERIC M (DDS)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:M
Last Name:ULM
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 N STATE STREET SUITE D
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082
Mailing Address - Country:US
Mailing Address - Phone:614-882-6030
Mailing Address - Fax:614-882-6603
Practice Address - Street 1:925 N STATE STREET SUITE D
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082
Practice Address - Country:US
Practice Address - Phone:614-882-6030
Practice Address - Fax:614-882-6603
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-25
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.023789122300000X
OH0237891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist