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Organization
JUSTIN C. NEWINGHAM D.D.S.
Active
Organization
JUSTIN C. NEWINGHAM D.D.S.
Active
Other names
The Beautiful Smile
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN CARL NEWINGHAM D.D.S. (PRESIDENT)
(248) 644-1810
Entity
Organization
Contact information
Practice address
50 W BIG BEAVER RD STE 240, BLOOMFIELD HILLS, MI 48304-3907
(248) 644-1810
(248) 644-4692
Mailing address
50 W BIG BEAVER RD STE 240, BLOOMFIELD HILLS, MI 48304-3907
(248) 644-1810
(248) 644-4692
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19096
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447346358
NPI
MI
01
—
1689760118
NPI
MI
Enumeration date
04/16/2008
Last updated
04/16/2008
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