Individual provider · Type 1 NPI

Ulises Ernesto Carballosa Fernandez

General Practice Dentistry · Ashtabula, OH

NPI number 1558051367 Active

Practice location

2203 Lake Ave
Ashtabula, OH 44004-3437

Call (440) 381-8800 Map

Mailing address

10803 Lake Ave Apt 104
Cleveland, OH 44102-1249

Other practice locations

  • 4071 Lee Rd Ste 260, Cleveland, OH 44128-2173 · (216) 727-1164

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XRES.004578 (OH)
General Practice Dentistry Primary 1223G0001X30.028142 (OH)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1558051367

Ulises Ernesto Carballosa Fernandez's National Provider Identifier is 1558051367, issued on May 15, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Ashtabula, OH. The record was last updated on Jul 17, 2025.