Organization Active NPI

Dr Barbara J Utermark Pediatric Dentistry

  • Pediatric Dentistry
  • Martinez, GA
National Provider Identifier
1962607804
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
8593 Issued in GA
Legal business name
DR BARBARA J UTERMARK PEDIATRIC DENTISTRY
Practice address
4469-B Columbia Road
Martinez, GA 30907-4573
Phone
(706) 860-5884
Fax
(706) 860-2100
NPI assigned
Jun 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Barbara J Utermark, DMD PC
Title
Doctor Pediatric Dentistry and Pres
Phone
(706) 860-5884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 8593 GA Primary

Addresses

Primary practice location

4469-B Columbia Road
Martinez, GA 30907-4573

Mailing address

4469-B Columbia Road
Martinez, GA 30907-4573
Phone (706) 860-5884

National Provider Directory

National Provider Directory
Tax ID family
Barbara J Utermark DMD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962607804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4469-B COLUMBIA ROAD",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309074573",
            "telephone_number": "706-860-5884",
            "fax_number": "706-860-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4469-B COLUMBIA ROAD",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309074573",
            "telephone_number": "706-860-5884",
            "fax_number": "706-860-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BARBARA J UTERMARK PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UTERMARK",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR PEDIATRIC DENTISTRY AND PRES",
        "authorized_official_telephone_number": "706-860-5884",
        "authorized_official_credential": "DMD PC"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "8593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.