Eugene Richard Utrie in Waterloo - General Practice

Eugene Richard Utrie - NPI 1669531943

Eugene Richard Utrie is a General Practice in Waterloo, Wisconsin. Eugene Richard Utrie practices all healthcare services and medical treatments related to General Practice. The NPI Number for Eugene Richard Utrie is 1669531943. The last update date is 2023-03-07.

Eugene Richard Utrie's current location address is 144 West Madison Street, Waterloo, Wisconsin. You can contact this provider via phone number 9204783636. The mailing address for Eugene Richard Utrie is 144 West Madison Street, Waterloo, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Eugene Richard Utrie
Address 144 West Madison Street, Waterloo, Wisconsin
Phone Number 9204783636
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1669531943
Provider Enumeration Date 2006-12-06
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 144 West Madison Street
City Waterloo
State Wisconsin (WI)
Post Code 535941397
Phone Number 9204783636
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 5000697
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5000697 WI LICENSE

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FAQs about Eugene Richard Utrie

What is the unique 10-digit identification code assigned to Eugene Richard Utrie by the Centers for Medicare & Medicaid Services?

The Eugene Richard Utrie has been issued the NPI (National Provider Identifier) 1669531943, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Eugene Richard Utrie's physical address?

The Eugene Richard Utrie is physically located at 144 West Madison Street, in the city of Waterloo, WI, with the postal code 535941397.

What is Eugene Richard Utrie's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Eugene Richard Utrie's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

On what date did the Eugene Richard Utrie receive its 1669531943 assignment from the Centers for Medicare & Medicaid Services?

The Eugene Richard Utrie was assigned its 1669531943 by the Centers for Medicare & Medicaid Services on 2006-12-06.

As of what date was the information regarding Eugene Richard Utrie, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Eugene Richard Utrie, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-03-07.

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