| J D Utley Jr Dmd Pc | |
|
3900 Zuck Road Erie PA 16506 | |
| (814) 833-5322 | |
| (814) 838-8718 |
| Full Name | J D Utley Jr Dmd Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3900 Zuck Road, Erie, Pennsylvania |
| Authorized Official Name and Position | Jack D Utley (PRESIDENT) |
| Authorized Official Contact | 8148335322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J D Utley Jr Dmd Pc 3900 Zuck Road Erie PA 16506 Ph: (814) 833-5322 | J D Utley Jr Dmd Pc 3900 Zuck Road Erie PA 16506 Ph: (814) 833-5322 |
| NPI Number | 1629298427 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629298427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DS018914L (Pennsylvania) | Primary |
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