Organization
JACK P NEWELL DDS A PROFESSIOAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK P NEWELL DDS (OWNER)
(985) 652-2425
Entity
Organization
Contact information
Practice address
179 BELLE TERRE BLVD, SUITE C, LA PLACE, LA 70068-3347
(985) 652-2425
(985) 651-7817
Mailing address
179 BELLE TERRE BLVD, SUITE C, LA PLACE, LA 70068-3347
(985) 652-2425
(985) 651-7817
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3012
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1830127
—
LA
Enumeration date
11/30/2006
Last updated
02/25/2010
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