David Charles Utrie, D.D.S.

General Practice Dentistry · Beaver Dam, WI

Individual Active NPI

NPI number 1629095278

Practice location

105 N Lincoln Ave
Beaver Dam, WI 53916-2140
Phone
(920) 887-2427
Fax
(920) 887-2907

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NPI record

NPI
1629095278
Entity type
Individual (Type 1)
Enumeration date
July 17, 2006
Last updated
July 9, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 5002046 WI

About Dr. Utrie

David Charles Utrie, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 105 N Lincoln Ave, Beaver Dam, WI 53916-2140. The NPI number 1629095278 was assigned on July 17, 2006 and the record was last updated on July 9, 2007.

Dr. Utrie lists a license in the registry: #5002046 (WI) 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 David Charles Utrie, D.D.S.?

The NPI number is 1629095278.

What is the phone number of Dr. Utrie?

The phone number listed for the practice location is (920) 887-2427.

Where is Dr. Utrie located?

105 N Lincoln Ave, Beaver Dam, WI 53916-2140.

What is the taxonomy code for Dr. Utrie?

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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