Jefferson Newbern, Dmd, Pllc
NPI #1467879031 in Elizabethtown, Kentucky
Provider Information
- NPI Number
- 1467879031
- Entity Type
- Organization
- Organization Name
- Jefferson Newbern, Dmd, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 21, 2014
- Last Updated
- Mar 21, 2014
Practice Location
- Address
- 2030 N DIXIE HWY
- City
- Elizabethtown
- State
- Kentucky
- ZIP Code
- 42701-9495
- Phone
- (270) 763-0200
Authorized Official
- Name
- AMY MARKO
- Title
- VP INS OPS
- Phone
- (315) 454-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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