IndividualActive
Virgil Ullom, D.D.S.
NPI 1710021415 · General Practice Dentistry · Lake Wales, FL
Virgil Ullom, D.D.S. is a General Practice Dentistry provider in Lake Wales, FL (NPI 1710021415).
Provider details
- NPI number
- 1710021415
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- DN9072 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1 Scenic Central Ste 107
Lake Wales, FL 33853-6107
Phone: (863) 678-1939
Street-level locationGet directions
Mailing address
245 Babson Dr
Babson Park, FL 33827-9516
Registry dates
- Enumerated
- 2007-02-16
- Last updated
- 2007-07-09
Frequently asked questions
- What is Virgil Ullom's NPI number?
- Virgil Ullom's National Provider Identifier (NPI) is 1710021415, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Virgil Ullom's specialty?
- Virgil Ullom is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Virgil Ullom located?
- Virgil Ullom's practice location on file with NPPES is 1 Scenic Central Ste 107, Lake Wales, FL 33853-6107.
- What is Virgil Ullom's phone number?
- The practice phone number listed in the NPPES registry for Virgil Ullom is (863) 678-1939.
- Is Virgil Ullom's NPI active?
- Yes — Virgil Ullom's NPI (1710021415) is active in the NPPES registry as of the last update on 2007-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.