Individual
DR. EDDY JOE NEWBERRY II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
400 S. BROADWAY, GLASGOW, KY 42141
(270) 651-2979
Mailing address
599 FOX TRL, GLASGOW, KY 42141-7873
(270) 678-2932
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7951
KY
1223G0001X
General Practice Dentistry
Primary
7951
KY
Other
Enumeration date
05/14/2007
Last updated
05/11/2011
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