Provider Demographics
NPI:1588085195
Name:UTOPIA DENTAL CARE
Entity type:Organization
Organization Name:UTOPIA DENTAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTAL HYGIENIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:DARLY
Authorized Official - Middle Name:GERMAIN
Authorized Official - Last Name:BARKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RDH
Authorized Official - Phone:505-363-3435
Mailing Address - Street 1:901 RIO GRANDE BLVD NW
Mailing Address - Street 2:154G
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87104-2057
Mailing Address - Country:US
Mailing Address - Phone:505-363-3435
Mailing Address - Fax:505-899-6192
Practice Address - Street 1:901 RIO GRANDE BLVD NW
Practice Address - Street 2:154G
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87104-2057
Practice Address - Country:US
Practice Address - Phone:505-363-3435
Practice Address - Fax:505-899-6192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-27
Last Update Date:2013-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes124Q00000XDental ProvidersDental HygienistGroup - Single Specialty