Utterback Dental Group, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

UTTERBACK DENTAL GROUP, INC

Practice address

2414 Whipple Ave NW
Canton, OH 44708-1514

Phone

(330) 479-0072

NPI assigned

Apr 25, 2019

Organization subpart

No

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

Authorized official

Name

Benjamin M Utterback, DDS

Title

Owner

Phone

(330) 510-2585

Specialties & licenses 2

Addresses

Other names 1

• Utterback Dental Group, Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

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

• James V Brunie, D.D.S.

  • General Practice Dentistry
  • Alliance, OH
  • NPI 1538387998
  NPD (past)
• Geoffrey M Utterback, D.D.S.

  • General Practice Dentistry
  • Alliance, OH
  • NPI 1619195013
  NPD (past)

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1992369896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 WHIPPLE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447081514",
            "telephone_number": "330-479-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 WHIPPLE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447081514",
            "telephone_number": "330-479-0072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1360 S Sawburg Ave",
            "address_purpose": "LOCATION",
            "city": "Alliance",
            "state": "OH",
            "postal_code": "446013520",
            "country_code": "US",
            "telephone_number": "330-479-0072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UTTERBACK DENTAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-25",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "UTTERBACK",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-510-2585",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Utterback Dental Group, Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Utterback Dental Group, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon M Urton, PAC
• Oduware Usen, MD
• Usv Optical Inc.
• David J. Utlak, M.D.
• Lisa Marie Utt, PTA
• Benjamin M Utterback, D.D.S.
• Joanne M Vaccani, CNS
• Dustin TG Vacha
• Shelby Vacha, LPC
• Emily Vaeth, MFT

• Dental Clinic/Center in Canton, OH
• Providers in Canton, OH by specialty
• Dental Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.