Provider Demographics
NPI:1053544825
Name:ROBERT D. NEWTON D.M.D. AND ASSOCIATES L.L.C.
Entity type:Organization
Organization Name:ROBERT D. NEWTON D.M.D. AND ASSOCIATES L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:D
Authorized Official - Last Name:NEWTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-256-3501
Mailing Address - Street 1:107 3RD ST N
Mailing Address - Street 2:
Mailing Address - City:AMORY
Mailing Address - State:MS
Mailing Address - Zip Code:38821-3422
Mailing Address - Country:US
Mailing Address - Phone:662-256-3501
Mailing Address - Fax:662-256-4316
Practice Address - Street 1:107 3RD ST N
Practice Address - Street 2:
Practice Address - City:AMORY
Practice Address - State:MS
Practice Address - Zip Code:38821-3422
Practice Address - Country:US
Practice Address - Phone:662-256-3501
Practice Address - Fax:662-256-4316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-27
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1940-81122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty