Jerry Lee Utley, DDS

General Practice Dentistry · La Crosse, WI

Individual Active NPI

NPI number 1780803361

Practice location

1212 Horton St
La Crosse, WI 54601-6372
Phone
(608) 788-1090

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NPI record

NPI
1780803361
Entity type
Individual (Type 1)
Enumeration date
April 24, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 6072 WI
General Practice Dentistry 1223G0001X D11374 MN

Mailing address

401 Gillette St
Apt 303
La Crosse, WI 54603-4208
Phone
(608) 498-1965

About Dr. Utley

Jerry Lee Utley, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1212 Horton St, La Crosse, WI 54601-6372. The NPI number 1780803361 was assigned on April 24, 2007 and the record was last updated on July 8, 2007.

Dr. Utley lists 2 licenses in the registry: #6072 (WI) for General Practice Dentistry; #D11374 (MN) 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 Jerry Lee Utley, DDS?

The NPI number is 1780803361.

What is the phone number of Dr. Utley?

The phone number listed for the practice location is (608) 788-1090.

Where is Dr. Utley located?

1212 Horton St, La Crosse, WI 54601-6372.

What is the taxonomy code for Dr. Utley?

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