Provider Demographics
NPI:1043568033
Name:NEWTON, RODSHEKIA DENISE
Entity Type:Individual
Prefix:
First Name:RODSHEKIA
Middle Name:DENISE
Last Name:NEWTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2413 CAMBRIDGE BELTWAY
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21613-3680
Mailing Address - Country:US
Mailing Address - Phone:443-521-0443
Mailing Address - Fax:
Practice Address - Street 1:301 RANDOLPH ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:MD
Practice Address - Zip Code:21629-1243
Practice Address - Country:US
Practice Address - Phone:410-479-4306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-22
Last Update Date:2012-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD6469124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist