Individual
DR. PHILLIP R NEWTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MD
Contact information
Practice address
4015 WORTH ST, DALLAS, TX 75246
(214) 823-5444
(214) 823-1581
Mailing address
4015 WORTH ST, DALLAS, TX 75246
(214) 823-5444
(214) 823-1581
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
25460
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
R0626
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25460
DENTAL LICENSE
TX
Enumeration date
09/10/2010
Last updated
12/01/2016
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