# SWEENEY UTTERBACK DENTISTRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558640946
- **Authorized official:** DR. BRUCE HAROLD UTTERBACK D.M.D. (SECRETARY)
- **Authorized official phone:** (757) 456-0734

## Contact information

- **Practice address:** 814 NORTH NEWTOWN RD, VIRGINIA BEACH, VA 23462-1116
- **Practice address phone:** (757) 456-0734
- **Mailing address:** 814 NORTH NEWTOWN RD, VIRGINIA BEACH, VA 23462-1116
- **Mailing address phone:** (757) 456-0734

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | VA 0401007145 | VA | — |
| 261QD0000X | Dental Clinic/Center | VA 0401007295 | VA | Yes |

## Other

- **Enumeration date:** 08/16/2011
- **Last updated:** 08/16/2011