Individual
DR. ANTHONY DAVID NEWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
500 E WOODROW WILSON AVE, BUILDING E, JACKSON, MS 39216-4538
(601) 366-7113
(601) 366-7114
Mailing address
500 E WOODROW WILSON AVE, BUILDING E, JACKSON, MS 39216-4538
(601) 366-7113
(601) 366-7114
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3197-01
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660398
—
MS
Enumeration date
01/01/2007
Last updated
11/05/2012
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