Utley, Robert Lee
Utley, Robert Lee is an individual health care provider with primary practice located at 3110 Clifton Springs Rd , Decatur GA 30034-4600. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Utley, Robert Lee can be contacted via phone (404) 244-2200.Contact Information
Primary practice address
3110 Clifton Springs Rd
Decatur GA 30034-4600
Phone: (404) 244-2200
Fax: (404) 638-0344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN007945 | Georgia |
Profile Details
| NPI number | 1770535791 |
|---|---|
| LBN Legal business name | Utley, Robert Lee |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770535791 | NPPES |
| Georgia | MEDICAID | 00067174D |
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