Provider Demographics
NPI:1144897638
Name:UTTECH, STEVEN KENNETH (DDS)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:KENNETH
Last Name:UTTECH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15160 FOLIAGE AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-5903
Mailing Address - Country:US
Mailing Address - Phone:952-960-9222
Mailing Address - Fax:952-882-8400
Practice Address - Street 1:15160 FOLIAGE AVE STE 100
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55124-5903
Practice Address - Country:US
Practice Address - Phone:952-960-9222
Practice Address - Fax:952-882-8400
Is Sole Proprietor?:No
Enumeration Date:2021-06-04
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND146881223E0200X
IARES-30609390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes1223E0200XDental ProvidersDentistEndodontics