James B. Newton, DMD

Individual provider Active NPI General Practice Dentistry · Manchester, ME

NPI 1609896646 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1609896646
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
200-3337 (ME)
Practice address
1051 Western Ave
Manchester, ME 04351-0450
Phone
(207) 621-0136
Fax
(207) 621-6324
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
200-3337MEMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 200-3337 ME Yes

Addresses

Primary practice location

1051 Western Ave
Manchester, ME 04351-0450

Mailing address

PO Box 450
Manchester, ME 04351-0450
Phone (207) 621-0136

Other providers in Manchester, ME

All providers in Manchester, ME · General Practice Dentistry in Maine

Sources for this page

Verify at the official NPI Registry.