Individual
DR. PATRICIA JEAN NEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1700 WEST SMITH VALLEY ROAD,, SUITE C-2, GREENWOOD, IN 46142-7106
(317) 888-6684
(317) 888-6687
Mailing address
1700 WEST SMITH VALLEY ROAD,, SUITE C-2, GREENWOOD, IN 46142-7106
(317) 888-6684
(317) 888-6687
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010449A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1744673
UNITED CONCORDIA
IN
05
—
200532750 A
—
IN
Enumeration date
04/27/2006
Last updated
05/27/2014
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