Organization
BRUCE H. UTTERBACK, DMD AND PIA ARAGON SWEENEY, DDS, PC
Active
Other names
Associated Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE HAROLD UTTERBACK DMD (PRESIDENT)
(757) 490-0419
Entity
Organization
Contact information
Practice address
814 NEWTOWN RD, VIRGINIA BEACH, VA 23462-1116
(757) 490-0419
(757) 490-0870
Mailing address
814 NEWTOWN RD, VIRGINIA BEACH, VA 23462-1116
(757) 490-0419
(757) 490-0870
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
VA401007145
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
389874
ANTHEM
VA
01
—
578059
UNITED CONCORDIA
VA
Enumeration date
08/22/2006
Last updated
07/01/2008
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