William Robert Newell, DMD, PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN012597 Issued in GA

Practice address

1689 Old Pendergrass Rd.
Suite 350
Jefferson, GA 30549

Phone

(706) 387-0122

NPI assigned

Jun 21, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• William R. Newell, DMD, P.C.

  dba Newell Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Jefferson, GA
  • NPI 1942608344
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578769246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 FOUNTAINHEAD DR",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305496710",
            "telephone_number": "706-367-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1689 OLD PENDERGRASS RD.",
            "address_2": "SUITE 350",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "30549",
            "telephone_number": "706-387-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWELL",
        "first_name": "WILLIAM",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DMD, PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN012597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milestone Pediatric Therapy Services, Inc.
• Nathalie Mize, RN
• MP Dental, LLC (Jefferson Dental Care)
• Kellie Brandenburg Mullins, PT
• Molly Musselwhite, PA-C
• Noah's Ark Homecare, Inc.
• Northeast Georgia Surgical Assisting
• Lauren Brennan Norwood, M.ED. CCC-SLP
• Cilleain S. O'Keeffe, OT
• Kaycie Oakley, OT

• Orthodontics and Dentofacial Orthopedics Dentistry in Jefferson, GA
• Providers in Jefferson, GA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.