NPIMap

Organization Active NPI

Bruce H. Utterback, DMD and Pia Aragon Sweeney, DDS, PC

Doing business as Associated Dental Care

  • General Practice Dentistry
  • Virginia Beach, VA
National Provider Identifier
1548376361
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
VA401007145 Issued in VA
Legal business name
BRUCE H. UTTERBACK, DMD AND PIA ARAGON SWEENEY, DDS, PC
Doing business as
Associated Dental Care
Practice address
814 Newtown Rd
Virginia Beach, VA 23462-1116
Phone
(757) 490-0419
Fax
(757) 490-0870
NPI assigned
Aug 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Bruce Harold Utterback, DMDNPI 1033225867
Title
President
Phone
(757) 490-0419

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X VA401007145 VA Primary

Addresses

Primary practice location

814 Newtown Rd
Virginia Beach, VA 23462-1116

Mailing address

814 Newtown Rd
Virginia Beach, VA 23462-1116
Phone (757) 490-0419

Other identifiers 2

IdentifierTypeStateIssuer
389874OtherVAANTHEM
578059OtherVAUNITED CONCORDIA

Other names 1

  • Associated Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

814 Newtown Rd
Virginia Beach, VA 23462
Phone (757) 222-3737

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1548376361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 NEWTOWN RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621116",
            "telephone_number": "757-490-0419",
            "fax_number": "757-490-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 NEWTOWN RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621116",
            "telephone_number": "757-490-0419",
            "fax_number": "757-490-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE H. UTTERBACK, DMD AND PIA ARAGON SWEENEY, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "UTTERBACK",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-490-0419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "VA401007145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "389874",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "578059",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associated Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.