Mr Eugene Richard Utrie, DDS is a
Dentist - General Practice based in Waterloo, Wisconsin. Mr Eugene Richard Utrie is licensed to practice in Wisconsin (license number 5000697) and his current practice location is
144 West Madison Street, Professional Building, Waterloo, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 478-3636.
NPI number for Mr Eugene Richard Utrie is 1669531943 and his current mailing address is 144 West Madison Street, Professional Building, Waterloo, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1669531943.
Healthcare Provider's Profile
Full Name | Mr Eugene Richard Utrie |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 144 West Madison Street, Waterloo, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1669531943
- Provider Enumeration Date: 12/06/2006
- Last Update Date: 03/07/2023
Medical Identifiers
Medical identifiers for Mr Eugene Richard Utrie such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669531943 | NPI | - | NPPES |
5000697 | Other | WI | LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 5000697 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Eugene Richard Utrie is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Eugene Richard Utrie, DDS 144 West Madison Street, Professional Building, Waterloo, WI 53594-1397 Ph: (920) 478-3636 | Mr Eugene Richard Utrie, DDS 144 West Madison Street, Professional Building, Waterloo, WI 53594-1397 Ph: (920) 478-3636 |
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