# NEWPORT DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720535297
- **Authorized official:** JAMES GARY COOL DMD (DENTIST)
- **Authorized official phone:** (509) 447-3105

## Contact information

- **Practice address:** 610 WEST SECOND ST., BOX 849, NEWPORT, WA 99156
- **Practice address phone:** (509) 447-3105
- **Practice address fax:** (509) 447-5661
- **Mailing address:** 610 WEST SECOND ST, NEWPORT, WA 99156
- **Mailing address phone:** (509) 447-3105
- **Mailing address fax:** (509) 447-5661

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 5239 | WA | Yes |

## Other

- **Enumeration date:** 09/01/2016
- **Last updated:** 09/01/2016