Individual
DR. GREGORY JON NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2100 N BROAD STREET, SUITE 201, LANSDALE, PA 19446
(215) 855-1173
(215) 855-1936
Mailing address
2100 N BROAD STREET, SUITE 201, LANSDALE, PA 19446
(215) 855-1173
(215) 855-1936
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DS029004L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054393
AMERIHEALTH
—
01
—
113237
CIGNA
—
01
—
1560
AETNA DMO
—
01
—
50012
PA DENTAL ASSOCIATION
—
01
—
6440
AMERICAN ASSOC. OF ENDODO
—
01
—
89839
AETNA
—
01
—
DS029004L
STATE LICENSE
—
Enumeration date
07/28/2006
Last updated
03/07/2023
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