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General NPI Number Information
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NPI Number | 1144897638
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Entity Type | Individual
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Provider Name | STEVEN KENNETH UTTECH DDS
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Gender | Male
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Dates
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Enumeration Date | 06/04/2021
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 15160 FOLIAGE AVE STE 100
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City | APPLE VALLEY
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State | MN
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Zip | 55124-5903
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Country | US
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Telephone | 952-960-9222
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Fax | 952-882-8400
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Provider Business Mailing Address
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Address Line | 15160 FOLIAGE AVE STE 100
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City | APPLE VALLEY
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State | MN
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Zip | 55124-5903
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Country | US
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Telephone | 952-960-9222
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Fax | 952-882-8400
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | D14688
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License Number State | MN
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