| Jefferson Newbern, Dmd, Pllc | |
|
3609 N Dixie Dr Dayton OH 45414-5232 | |
| (937) 278-7954 | |
| Not Available |
| Full Name | Jefferson Newbern, Dmd, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3609 N Dixie Dr, Dayton, Ohio |
| Authorized Official Name and Position | Jefferson Lamar Newbern (OWNER) |
| Authorized Official Contact | 2295605494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Newbern, Dmd, Pllc 1338 S 1st St Louisville KY 40208-2302 Ph: (229) 560-5494 | Jefferson Newbern, Dmd, Pllc 3609 N Dixie Dr Dayton OH 45414-5232 Ph: (937) 278-7954 |
| NPI Number | 1952119174 |
|---|---|
| Provider Enumeration Date | 12/19/2024 |
| Last Update Date | 12/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952119174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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