Terri Alley Newton, DMD
Individual provider Active NPI Dentist · Henderson, KY
NPI 1306993399 · NPPES record last updated Feb 12, 2009
Key facts
- NPI
- 1306993399
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 5431 (KY)
- Practice address
- 716 Second Street
Henderson, KY 42420 - Phone
- (270) 826-2092
- NPI assigned
- Jan 4, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5431 | KY | Yes |
Addresses
Primary practice location
716 Second Street
Henderson, KY 42420
Mailing address
716 Second Street
Henderson, KY 42420
Phone (270) 826-2092
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60054319 | Medicaid | KY |
Other providers in Henderson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.