Damjan Jutric, DDS

Dentist · Lakewood, WA

Individual Active NPI

NPI number 1083097299

Practice location

10828 Gravelly Lake Dr SW Ste 111
Lakewood, WA 98499-1300
Phone
(253) 584-3121

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NPI record

NPI
1083097299
Entity type
Individual (Type 1)
Enumeration date
July 7, 2015
Last updated
March 10, 2021
Certified
March 10, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DE60729364 WA
Dentist 122300000X 31161 TX

About Dr. Jutric

Damjan Jutric, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 10828 Gravelly Lake Dr SW Ste 111, Lakewood, WA 98499-1300. The NPI number 1083097299 was assigned on July 7, 2015 and the record was last updated on March 10, 2021.

Dr. Jutric lists 2 licenses in the registry: #DE60729364 (WA) for Dentist; #31161 (TX) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Damjan Jutric, DDS?

The NPI number is 1083097299.

What is the phone number of Dr. Jutric?

The phone number listed for the practice location is (253) 584-3121.

Where is Dr. Jutric located?

10828 Gravelly Lake Dr SW Ste 111, Lakewood, WA 98499-1300.

What is the taxonomy code for Dr. Jutric?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

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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