| Newman Dental Care, Inc | |
|
500 E Woodrow Wilson Ave Building E Jackson MS 39216-4538 | |
| (601) 366-7113 | |
| (601) 366-7114 |
| Full Name | Newman Dental Care, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 500 E Woodrow Wilson Ave, Jackson, Mississippi |
| Authorized Official Name and Position | Anthony David Newman (DENTIST) |
| Authorized Official Contact | 6013667113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newman Dental Care, Inc 500 E Woodrow Wilson Ave Building E Jackson MS 39216-4538 Ph: (601) 366-7113 | Newman Dental Care, Inc 500 E Woodrow Wilson Ave Building E Jackson MS 39216-4538 Ph: (601) 366-7113 |
| NPI Number | 1538365952 |
|---|---|
| Provider Enumeration Date | 06/22/2007 |
| Last Update Date | 10/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538365952 | NPI | - | NPPES |
| 03634868 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3197-01 (Mississippi) | Primary |
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