Individual
NEWTON SAMUEL GUY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
303 MOUND ST, HARLAN, KY 40831
(606) 573-4707
Mailing address
PO BOX 113, HARLAN, KY 40831
(606) 573-4707
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4003
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60040037
—
KY
Enumeration date
03/05/2007
Last updated
07/08/2007
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