Individual
DR. ELMER JAY NEWNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 292-3015
Mailing address
5492 TINSBURY CT, COLUMBUS, OH 43235-7385
(614) 325-3411
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901020863
MI
122300000X
Dentist
Primary
30-020909
OH
122300000X
Dentist
DS-030590-L
PA
Other
Enumeration date
01/04/2007
Last updated
05/26/2021
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