Organization Active NPI

Sweeney Utterback Dentistry LLC

  • Dental Clinic/Center
  • Virginia Beach, VA
National Provider Identifier
1558640946
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
VA 0401007295 Issued in VA
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

Updated by the provider on Aug 16, 2011

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.