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UTTERBACK DENTAL GROUP INC NPI 1992369896


NPI Information

NPI: 1992369896
Provider Name: UTTERBACK DENTAL GROUP, INC

Doing Business As: UTTERBACK DENTAL GROUP, INC

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2414 WHIPPLE AVE NW
CANTON, OH
ZIP 44708
Phone: (330) 479-0072
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UTTERBACK DENTAL GROUP, INC is a dental clinic center in Canton, OH. UTTERBACK DENTAL GROUP, INC NPI is 1992369896. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Utterback Dental Group, Inc.

The provider's business location address is:

2414 WHIPPLE AVE NW
CANTON, OH
ZIP 44708-514
Phone: (330) 479-0072

The provider's authorized official is Benjamin M Utterback .
The authorized official title is Owner and has the following contact phone number (330) 821-6603.

The enumeration date for this NPI number is 4/25/2019 and was last updated on 5/29/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeNo
2261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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