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General NPI Number Information
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NPI Number | 1457794778
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Entity Type | Organization
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Legal Business Name | JAMES DAVID UTTER DDS MS PA
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Dates
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Enumeration Date | 04/17/2013
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Last Update Date | 04/17/2013
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Provider Practice Location Address
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Address Line | 8335 WALNUT HILL LANE STE 200
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City | DALLAS
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State | TX
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Zip | 75231
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Country | US
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Telephone | 214-750-6925
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Fax | 214-363-6607
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Provider Business Mailing Address
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Address Line | 8335 WALNUT HILL LANE STE 200
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City | DALLAS
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State | TX
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Zip | 75231
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Country | US
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Telephone | 214-750-6925
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Fax | 214-363-6607
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Authorized Official
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Title or Position | AGENT/PRESIDENT
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Name | DR. JAMES DAVID UTTER
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Credential | DDS, MS
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Telephone | 214-750-6925
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 8409
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 10065
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 15108
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License Number State | TX
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