Organization
NEWSOME FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARRETT RUSSELL NEWSOME DDS (OWNER/DENTIST)
(803) 782-6966
Entity
Organization
Contact information
Practice address
2120 N. BELTLINE BLVD, STE A, COLUMBIA, SC 29204-3905
(803) 782-6966
(803) 782-6966
Mailing address
1701 SAINT JULIAN PL, SUITE 202, COLUMBIA, SC 29204-2418
(803) 254-2465
(803) 254-3008
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3642
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3642
—
SC
Enumeration date
02/06/2007
Last updated
11/01/2021
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