Organization
JEFFERSON NEWBERN, DMD, PLLC
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MARKO (VP INS OPS)
(315) 454-6000
Entity
Organization
Contact information
Practice address
2030 N DIXIE HWY, ELIZABETHTOWN, KY 42701-9495
(270) 763-0200
(270) 763-0438
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8866
KY
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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