Individual
MR. MICHAEL BENJAMIN NEWSOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
701 N MAIN ST, PERSON FAMILY DENTAL CENTER, ROXBORO, NC 27573
(336) 599-9271
(336) 330-0247
Mailing address
PO BOX 350, 701 N MAIN ST PERSON FAMILY DENTAL CENTER, ROXBORO, NC 27573
(336) 599-9271
(336) 330-0247
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7644NC
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89902RG
—
NC
Enumeration date
11/13/2006
Last updated
07/08/2007
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