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Organization
JEFFERSON NEWBERN, DMD, PLLC
Active
Organization
JEFFERSON NEWBERN, DMD, PLLC
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MARKO (VP INS OPS)
(315) 454-6000
Entity
Organization
Contact information
Practice address
2030 N DIXIE HWY, ELIZABETHTOWN, KY 42701-9495
(270) 763-0200
(270) 763-0438
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8866
KY
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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