Organization
NEWARK FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE R HILLEARY (OFFICE MANAGER)
(740) 349-3099
Entity
Organization
Contact information
Practice address
136 W MAIN ST, NEWARK, OH 43055-5008
(740) 349-3033
(740) 349-7675
Mailing address
136 W MAIN ST, NEWARK, OH 43055-5008
(740) 349-3033
(740) 349-7675
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
018862
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0710627
—
OH
05
—
0713526
—
OH
05
—
2237832
—
OH
05
—
2373551
—
OH
Enumeration date
04/24/2007
Last updated
08/22/2020
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