Organization
JUSTIN C. NEWINGHAM D.D.S.
Active
Other names
The Beautiful Smile
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN CARL NEWINGHAM D.D.S. (PRESIDENT)
(248) 644-1810
Entity
Organization
Contact information
Practice address
50 W BIG BEAVER RD STE 240, BLOOMFIELD HILLS, MI 48304-3907
(248) 644-1810
(248) 644-4692
Mailing address
50 W BIG BEAVER RD STE 240, BLOOMFIELD HILLS, MI 48304-3907
(248) 644-1810
(248) 644-4692
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19096
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447346358
NPI
MI
01
—
1689760118
NPI
MI
Enumeration date
04/16/2008
Last updated
04/16/2008
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