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1144897638 NPI number — STEVEN KENNETH UTTECH DDS

NPI Number: 1144897638
Health Care Provider/Practitioner: STEVEN KENNETH UTTECH DDS

Information about “1144897638” NPI (STEVEN KENNETH UTTECH DDS) exists in 1144897638 in HTML format HTML  |  1144897638 in plain Text format TXT  |  1144897638 in PDF (Portable Document Format) PDF  |  1144897638 in an XML format XML  formats.

NPI Number : 1144897638 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1144897638",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "UTTECH",
    "FirstName": "STEVEN",
    "MiddleName": "KENNETH",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "15160 FOLIAGE AVE STE 100",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "APPLE VALLEY",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55124-5903",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "952-960-9222",
    "MailingAddressFaxNumber": "952-882-8400",
    "FirstLinePracticeLocationAddress": "15160 FOLIAGE AVE STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "APPLE VALLEY",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55124-5903",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "952-960-9222",
    "PracticeLocationAddressFaxNumber": "952-882-8400",
    "EnumerationDate": "06/04/2021",
    "LastUpdateDate": "06/03/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223E0200X",
        "TaxonomyName": "Endodontics",
        "LicenseNumber": "D14688",
        "LicenseNumberStateCode": "MN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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