Individual
JACK NEWTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8 JOHN ST, SOUTHPORT, CT 06890-1437
(203) 319-1300
(203) 319-0893
Mailing address
8 JOHN ST, SOUTHPORT, CT 06890-1437
(203) 319-1300
(203) 319-0893
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12605
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2018
Last updated
07/21/2020
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