Active NPI
Robert Lee Utley, DDS
- General Practice Dentistry
- Decatur, GA
National Provider Identifier
1770535791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN007945
- Practice address
- 3110 Clifton Springs Rd
Decatur, GA 30034-4600 - Phone
- (404) 244-2200
- Fax
- (404) 638-0344
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN007945 | GA | Primary |
Addresses
Primary practice location
3110 Clifton Springs Rd
Decatur, GA 30034-4600
Mailing address
3185 Washington Rd
East Point, GA 30344-5455
Phone (404) 766-2093
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00067174D | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN007945 | GA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1770535791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3185 WASHINGTON RD",
"city": "EAST POINT",
"state": "GA",
"postal_code": "303445455",
"telephone_number": "404-766-2093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3110 CLIFTON SPRINGS RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300344600",
"telephone_number": "404-244-2200",
"fax_number": "404-638-0344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UTLEY",
"first_name": "ROBERT",
"middle_name": "LEE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN007945",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00067174D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.