# JUSTIN C. NEWINGHAM D.D.S.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Beautiful Smile
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679747109
- **Authorized official:** DR. JUSTIN CARL NEWINGHAM D.D.S. (PRESIDENT)
- **Authorized official phone:** (248) 644-1810

## Contact information

- **Practice address:** 50 W BIG BEAVER RD STE 240, BLOOMFIELD HILLS, MI 48304-3907
- **Practice address phone:** (248) 644-1810
- **Practice address fax:** (248) 644-4692
- **Mailing address:** 50 W BIG BEAVER RD STE 240, BLOOMFIELD HILLS, MI 48304-3907
- **Mailing address phone:** (248) 644-1810
- **Mailing address fax:** (248) 644-4692

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 19096 | MI | Yes |

## Other

- **Enumeration date:** 04/16/2008
- **Last updated:** 04/16/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1447346358 | NPI | MI |
| 01 | — | 1689760118 | NPI | MI |
