Provider Demographics
NPI:1043308703
Name:UTSEY, JULIE WALKER (DMD)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:WALKER
Last Name:UTSEY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 S MULBERRY AVE
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:AL
Mailing Address - Zip Code:36904-2524
Mailing Address - Country:US
Mailing Address - Phone:205-459-2700
Mailing Address - Fax:205-459-4479
Practice Address - Street 1:114 S MULBERRY AVE
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:AL
Practice Address - Zip Code:36904-2524
Practice Address - Country:US
Practice Address - Phone:205-459-2700
Practice Address - Fax:205-459-4479
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL48861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice