Utterback Dental Group, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

UTTERBACK DENTAL GROUP, INC

Doing business as

Utterback Dental Group, Inc

Practice address

2414 Whipple Ave NW
Canton, OH 44708-1514

Phone

(330) 479-0072

NPI assigned

Apr 25, 2019

Last updated

Jan 23, 2025By the provider in NPPES

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, DDSNPI 1205054624

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 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Benjamin M Utterback, D.D.S.

  • General Practice Dentistry
  • Canton, OH
  • NPI 1205054624
  Authorized official Same address or phone
• 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"
        }
    ]
}

• Usacs Medical Group of California, Inc.
• 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.