Active NPI
Sweeney Utterback Dentistry LLC
- Dental Clinic/Center
- Virginia Beach, VA
National Provider Identifier
1558640946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- VA 0401007295
- Legal business name
- SWEENEY UTTERBACK DENTISTRY LLC
- Practice address
- 814 North Newtown Rd
Virginia Beach, VA 23462-1116 - Phone
- (757) 456-0734
- NPI assigned
- Aug 16, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bruce Harold Utterback, D.M.D.
- Title
- Secretary
- Phone
- (757) 456-0734
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | VA 0401007145 | VA | |
| Dental Clinic/Center | 261QD0000X | VA 0401007295 | VA | Primary |
Addresses
Primary practice location
814 North Newtown Rd
Virginia Beach, VA 23462-1116
Mailing address
814 North Newtown Rd
Virginia Beach, VA 23462-1116
Phone (757) 456-0734
National Provider Directory
National Provider DirectoryLocations
814 N Newtown Rd
Virginia Beach, VA 23462
Phone (757) 456-0734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313452800000",
"number": "1558640946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 NORTH NEWTOWN RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234621116",
"telephone_number": "757-456-0734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 NORTH NEWTOWN RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234621116",
"telephone_number": "757-456-0734"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SWEENEY UTTERBACK DENTISTRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-16",
"last_updated": "2011-08-16",
"status": "A",
"authorized_official_last_name": "UTTERBACK",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "HAROLD",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "757-456-0734",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "VA",
"license": "VA 0401007145",
"primary": false
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "VA",
"license": "VA 0401007295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Aug 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.