Individual
BRENT FREDRICK NEWBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2572 SUN SEEKER CT, LEXINGTON, KY 40503-2981
(859) 388-4591
Mailing address
2572 SUN SEEKER CT, LEXINGTON, KY 40503-2981
(859) 388-4591
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30-024342
OH
122300000X
Dentist
Primary
9177-D
KY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
9177
KY
Other
Enumeration date
05/30/2012
Last updated
02/03/2015
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