Individual provider · Type 1 NPI

Manita Grover Utreja, DMD

Dentist · Glen Carbon, IL

NPI number 1205454469 Active

Practice location

148 Northbay Ct
Glen Carbon, IL 62034-2994

Mailing address

2800 College Avenue
Alton, IL 62002

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X019032707 (IL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1205454469

Manita Grover Utreja, DMD's National Provider Identifier is 1205454469, issued on Jul 13, 2020. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Glen Carbon, IL. The record was last updated on Oct 23, 2024.