Provider Demographics
NPI:1033231485
Name:GURME, UTTAM S (DDS)
Entity Type:Individual
Prefix:
First Name:UTTAM
Middle Name:S
Last Name:GURME
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:AMSTERDAM
Mailing Address - State:NY
Mailing Address - Zip Code:12010-4501
Mailing Address - Country:US
Mailing Address - Phone:518-842-3424
Mailing Address - Fax:518-842-4218
Practice Address - Street 1:32 E MAIN ST
Practice Address - Street 2:
Practice Address - City:AMSTERDAM
Practice Address - State:NY
Practice Address - Zip Code:12010-4501
Practice Address - Country:US
Practice Address - Phone:518-842-3424
Practice Address - Fax:518-842-4218
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035468122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist