J D UTLEY JR DMD PC (NPI# 1629298427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629298427 |
| Entity Type | Organization |
| Organization Name | J D UTLEY JR DMD PC |
| Practice Address |
3900 Zuck Road Erie PA 16506 |
| Practice Telephone | 8148335322 |
| Practice Fax Number | 8148388718 |
| Mailing Telephone | 8148335322 |
| Mailing Fax Number | 8148388718 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JACK D UTLEY JR. (PRESIDENT) |
| Authorized Official Telephone | 8148335322 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DS018914L | PA | Dental Providers |
| Street Address |
3900 ZUCK ROAD |
| City | ERIE |
| State | PA |
| Zip Code | 16506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215582838 | Casey Smith | Behavioral Analyst | 4950 W 23rd Street, Suite 1, Erie, PA 16506 | 2019-08-09 |
| 1962916155 | Joseph Michael Moon | Chiropractor | 2921 W 26th St, Erie, PA 16506 | 2017-11-27 |
| 1053851550 | Lake Erie Music Therapy LLC | Music Therapist | 5672 Culpepper Dr., Erie, PA 16506 | 2017-03-02 |
| 1295152700 | Gabrielle Carr | Counselor | 2420 West 23rd St, Erie, PA 16506 | 2014-03-21 |
| 1407296973 | Carolyn Danner-bliss Pediatric Dietitian Services, LLC | Dietitian, Registered | 5105 Coventry Drive, Erie, PA 16506 | 2013-06-28 |
| 1962847772 | Philip J Dunn | Internal Medicine | 3615 Woodhaven Dr, Erie, PA 16506 | 2013-05-07 |
| 1619236684 | Joseph S. Serafini | Hearing Instrument Specialist | 2930 Mckee Rd, Erie, PA 16506 | 2012-05-11 |
| 1063788313 | Tatiana V Khochay | Registered Nurse | 2801 Burgundy Dr., Erie, PA 16506 | 2012-03-30 |
| 1699051318 | Krystyna Teresa Wozniak | Licensed Practical Nurse | 3912 East Boardwalk Place, Erie, PA 16506 | 2011-10-26 |
| 1033436324 | Alexis Jean Mustin | Social Worker | 3210 West 32nd Street, Erie, PA 16506 | 2010-04-26 |
| Find all providers in zip 16506 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962761411 | Moshood B Martins | Dentist | 7040 Peach Street, Erie, PA 16509 | 2012-05-03 |
| 1972836187 | Dr. David Verlinich LLC Dba Erie Orthodontics | Dentist | 615 Mitchell Way, Suite 106, Erie, CO 80516 | 2009-09-08 |
| 1609074400 | William M Wilcko | Dentist | 6066 Peach St, Erie, PA 16509 | 2007-07-03 |
| 1649391582 | Doleski and Wolford Orthodontics, P.C. | Dentist | 3230 W 38th St, Erie, PA 16506-4202 | 2007-04-02 |
| 1699812768 | Andrew John Kwasny | Dentist | 3219 Peach St, Erie, PA 16508-2735 | 2007-01-30 |
| 1033264445 | Randy J Ashoff | Dentist | 2437 W 26th St, Erie, PA 16506-3220 | 2007-01-24 |
| 1609933654 | Kevin David Dunlavey | Dentist | 5125 Zuck Rd, Erie, PA 16506-4941 | 2007-01-02 |
| 1245390509 | Clifton Theodore Forsberg | Dentist | 4626 Peach St, Erie, PA 16509-2007 | 2006-12-09 |
| 1902919152 | Jeffrey Alan Benson | Dentist | 2141 W 8th St, Erie, PA 16505-4764 | 2006-08-15 |
| 1720092984 | Willis Gilson Cardot Jr. | Dentist | 2609 W 8th St, Erie, PA 16505-4022 | 2006-07-27 |
| Find all providers in ERIE | ||||
Please comment or provide details below to improve the information on J D UTLEY JR DMD PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.