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Mr. Eugene Richard Utrie, DDS
General Practice Dentistry in Waterloo, Wisconsin
NPI 1669531943

Eugene Richard Utrie is a General Practice Dentistry based in Waterloo, WI and is specialized in General Practice. Eugene Richard Utrie practices in Waterloo, WI and has the professional credentials of DDS. The NPI Number for Eugene Richard Utrie is 1669531943 and holds a License No. 5000697 (Wisconsin).

The current practice location address for Eugene Richard Utrie is 144 West Madison Street, Waterloo, WI and can be reached out via phone at 920-478-3636.

Location: 144 West Madison Street, Waterloo, WI, 53594-1397
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669531943
Provider Name
Eugene Richard Utrie
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
144 West Madison Street, Waterloo, WI, 53594-1397
Phone Number
920-478-3636
Fax Number
Provider Enumeration Date
12/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5000697 01 WI LICENSE
institution
Provider Business Practice Location Address Details
Address
144 West Madison Street
City
Waterloo
State
Wisconsin
Zip
53594-1397
Phone Number
920-478-3636
Fax Number
person
Provider Business Mailing Address Details
Address
144 West Madison Street
City
Waterloo
State
Wisconsin
Zip
53594-1397
Phone Number
920-478-3636
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
5000697 (Wisconsin)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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