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Active NPI 1629095278 Individual Practitioner Male Practitioner

Dr. David Charles Utrie , DDS

Dentist - General Practice • Beaver Dam, WI

Professional Overview & Biography Verified Profile Summary

Dr. David Utrie, DDS is a registered healthcare professional specializing in Dentist - General Practice in Beaver Dam, WI. Practice services are available at 105 N LINCOLN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

105 N Lincoln Ave

Beaver Dam, WI 539162140

Telephone 9208872427
Fax 9208872907

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Beaver Dam, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
8 Specialists

Practicing in Beaver Dam, WI (2459 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WI 5002046

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
33376200 (WI)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 105 N LINCOLN AVE, BEAVER DAM, WI 539162140 (Tel: 9208872427)

📍
Updated Business Mailing Address July 09, 2007

Registered at 105 N LINCOLN AVE, BEAVER DAM, WI 539162140 (Tel: 9208872427)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as DAVID UTRIE, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #5002046 in WI)

🟢
Initial NPI Registration & Enumeration July 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629095278
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2006
Last Update: July 09, 2007
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

105 N Lincoln Ave

Beaver Dam, WI 539162140

Phone: 9208872427

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.