UTTERBACK DENTAL GROUP, INC (NPI# 1992369896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992369896 |
| Entity Type | Organization |
| Organization Name | UTTERBACK DENTAL GROUP, INC |
| Other Organization Name | UTTERBACK DENTAL GROUP, INC |
| Practice Address |
2414 Whipple Ave Nw Canton OH 44708-1514 |
| Practice Telephone | 3304790072 |
| Mailing Telephone | 3304790072 |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2019-05-29 |
| Authorized Official Name | BENJAMIN M UTTERBACK (OWNER) |
| Authorized Official Telephone | 3308216603 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Utterback Dental Group, Inc | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1360 S Sawburg Ave, Alliance, OH 446013520 | 3304790072 |
| Street Address |
2414 WHIPPLE AVE NW |
| City | CANTON |
| State | OH |
| Zip Code | 44708-1514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285127605 | Cameron Parker Demarsh | Dentist | 2414 Whipple Ave Nw, Canton, OH 44708-1514 | 2018-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072583 | Xl Developmental Services, Inc. | Home Health | 4403 19th St Nw, Canton, OH 44708 | 2020-10-29 |
| 1942827084 | Emily Glor | Dentist | 1320 Mercy Drive Northwest, Attn: Dental Services, Canton, OH 44708 | 2020-07-05 |
| 1811479009 | Linda Adams | Counselor | 2421 13th Street Nw, Canton, OH 44708 | 2018-09-04 |
| 1104308527 | Toreka Lishay Miller | Social Worker | 2421 13th Nw, Canton, OH 44708 | 2018-09-01 |
| 1679051213 | Edward Arthur Hill | Family Medicine | 6104 Cedar Lane Nw, Canton, OH 44708 | 2018-08-06 |
| 1467939371 | Kristen M Reardon | Registered Nurse | 1330 Mercy Dr Nw Ste 319, Canton, OH 44708 | 2018-07-24 |
| 1538659131 | Jeffrey Scott Mechtenberg | Chiropractor | 3410 Tuscarawas Street W, Canton, OH 44708 | 2018-05-18 |
| 1699284844 | Our Caring Hands Home Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3005 W. Tuscuswas St, Canton, OH 44708 | 2017-09-20 |
| 1528580933 | Elizabeth Ann Bonchek | Licensed Practical Nurse | 4550 Hills and Dales Nw Road, Canton, OH 44708 | 2017-07-07 |
| 1518315837 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 2835 Tuscarawas St. West, Canton, OH 44708 | 2016-05-26 |
| Find all providers in zip 44708 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053958603 | Inspire Dentistry Pllc | Clinic/Center | 43050 Ford Rd Ste 190, Canton, MI 48187-3359 | 2019-12-03 |
| 1730647272 | Epic Smile Centers of Michigan Pllc | Clinic/Center | 45001 Ford Rd # 104-d, Canton, MI 48187-2907 | 2019-03-04 |
| 1437573748 | Dentistry At Hickory Flat PC | Clinic/Center | 6199 Hickory Flat Hwy Ste 130, Canton, GA 30115-7255 | 2014-02-06 |
| 1811161060 | David N. Kam, D.d.s., P.C. | Clinic/Center | 155 N Canton Center Rd, Canton, MI 48187-2901 | 2008-04-18 |
| 1801919287 | Oakland Family Dental Care, Plc | Clinic/Center | 7184 Meadowbrook Dr, Canton, MI 48187-3552 | 2007-04-09 |
| 1154929594 | Sean R O'brien | Clinic/Center | 1716 S Lilley Rd, Canton, MI 48188-1108 | 2020-10-16 |
| 1407462187 | Canton Ardent | Clinic/Center | 45650 Ford Rd, Canton, MI 48187-5432 | 2020-09-18 |
| 1073146726 | Forever Smiles Orthodontics Pllc | Clinic/Center | 4227 S Canton Center Rd, Canton, MI 48188-2448 | 2020-02-20 |
| 1609439728 | Joseph Gondoly Dds PC | Clinic/Center | 44356 Cherry Hill Rd, Canton, MI 48187-3274 | 2019-04-15 |
| 1831693019 | Munson Dental and Facial Aesthetics | Clinic/Center | 4811 Munson St Nw, Canton, OH 44718-3614 | 2018-03-21 |
| Find all providers in CANTON | ||||
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| 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.