Organization Active NPI

Jefferson Newbern, DMD, PLLC

Doing business as Dayton Dental Care Unlimited

  • Dental Clinic/Center
  • Dayton, OH
National Provider Identifier
1952119174
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JEFFERSON NEWBERN, DMD, PLLC
Doing business as
Dayton Dental Care Unlimited
Practice address
3609 N Dixie Dr
Dayton, OH 45414-5232
Phone
(937) 278-7954
NPI assigned
Dec 19, 2024
Last updated
Dec 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Dr. Jefferson Lamar Newbern IV, DMDNPI 1497074504
Title
Owner
Phone
(229) 560-5494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3609 N Dixie Dr
Dayton, OH 45414-5232

Mailing address

1338 S 1St St
Louisville, KY 40208-2302
Phone (229) 560-5494

Other names 1

  • Dayton Dental Care Unlimited Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Aspen Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1952119174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 S 1ST ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402082302",
            "telephone_number": "229-560-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 N DIXIE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454145232",
            "telephone_number": "937-278-7954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON NEWBERN, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "NEWBERN",
        "authorized_official_first_name": "JEFFERSON",
        "authorized_official_middle_name": "LAMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-560-5494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dayton Dental Care Unlimited",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.