IndividualActive
Manita Utreja, DMD
NPI 1205454469 · Dentist · Glen Carbon, IL
Manita Utreja, DMD is a Dentist provider in Glen Carbon, IL (NPI 1205454469).
Provider details
- NPI number
- 1205454469
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- License
- 019032707 (IL)
Practice location
148 Northbay Ct
Glen Carbon, IL 62034-2994
Phone: (317) 693-9801
Street-level locationGet directions
Mailing address
2800 College Avenue
Alton, IL 62002
Registry dates
- Enumerated
- 2020-07-13
- Last updated
- 2024-10-23
- Certified
- 2024-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.