Provider Demographics
NPI:1093075806
Name:NEWTOWN DENTAL CARE PC
Entity Type:Organization
Organization Name:NEWTOWN DENTAL CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:MAGIDA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:215-968-7787
Mailing Address - Street 1:7 CAMBRIDGE LN
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-3326
Mailing Address - Country:US
Mailing Address - Phone:215-968-7787
Mailing Address - Fax:215-968-9363
Practice Address - Street 1:7 CAMBRIDGE LN
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-3326
Practice Address - Country:US
Practice Address - Phone:215-968-7787
Practice Address - Fax:215-968-9363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-26
Last Update Date:2012-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-023086-L122300000X
332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Single Specialty