Individual
DR. ELISE MICHELLE NEWSOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
104 W. NORTHWOOD STREET, SUITE C, GREENSBORO, NC 27401
(919) 484-8088
(919) 484-8044
Mailing address
1221 NORTHCREEK DR, DURHAM, NC 27707-3369
(919) 308-8018
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9201
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263880403
—
NC
Enumeration date
09/10/2010
Last updated
06/07/2012
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