Rogoberto Ulloa, DDS

General Practice Dentistry · Joliet, IL

Individual Active NPI

NPI number 1114016573

Practice location

500 N Chicago St
Joliet, IL 60432-1706
Phone
(815) 724-0500
Fax
(815) 724-0583

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NPI record

NPI
1114016573
Entity type
Individual (Type 1)
Enumeration date
October 12, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 19026192 IL

About Dr. Ulloa

Rogoberto Ulloa, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 500 N Chicago St, Joliet, IL 60432-1706. The NPI number 1114016573 was assigned on October 12, 2006 and the record was last updated on July 8, 2007.

Dr. Ulloa lists a license in the registry: #19026192 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Rogoberto Ulloa, DDS?

The NPI number is 1114016573.

What is the phone number of Dr. Ulloa?

The phone number listed for the practice location is (815) 724-0500.

Where is Dr. Ulloa located?

500 N Chicago St, Joliet, IL 60432-1706.

What is the taxonomy code for Dr. Ulloa?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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