Individual
ROBERT LEE UTLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3110 CLIFTON SPRINGS RD, DECATUR, GA 30034-4600
(404) 244-2200
(404) 638-0344
Mailing address
3185 WASHINGTON RD, EAST POINT, GA 30344-5455
(404) 766-2093
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN007945
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00067174D
—
GA
Enumeration date
05/17/2006
Last updated
07/08/2007
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