DR. DAVID CHARLES UTRIE D.D.S.
NPI 1629095278
Dentist - General Practice in Beaver Dam, WI

Active since July 17, 2006
105 N LINCOLN AVE, BEAVER DAM, WI 53916(920) 887-2427(920) 887-2907 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. David Charles Utrie D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID CHARLES UTRIE D.D.S. (NPI 1629095278) is an individual general practice provider in Beaver Dam, Wisconsin, licensed in Wisconsin (5002046) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1629095278
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DAVID CHARLES UTRIECredential: D.D.S.
Location Address105 N LINCOLN AVEBeaver Dam, WI 53916-2140
Mailing Address105 N Lincoln AveBeaver Dam, WI 53916-2140 · (920) 887-2427 · Fax (920) 887-2907
Fax(920) 887-2907
Sole ProprietorYes
Enumeration DateJuly 17, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1629095278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WI · 5002046
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
105 N LINCOLN AVE, Beaver Dam, WI 53916

Other Identifiers 1

Medicaid33376200WI

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Utrie's NPI number?

The NPI number for David Utrie is 1629095278. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is David Utrie located?

David Utrie practices at 105 N Lincoln Ave, Beaver Dam, WI 53916. The listed phone number is (920) 887-2427.

What is David Utrie's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for David Utrie was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.