Provider Demographics
NPI:1124025630
Name:NEWTON, WM. DENNIS (MD)
Entity Type:Individual
Prefix:DR
First Name:WM.
Middle Name:DENNIS
Last Name:NEWTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1401 HARRODSBURG RD
Mailing Address - Street 2:C100
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-3751
Mailing Address - Country:US
Mailing Address - Phone:859-278-4960
Mailing Address - Fax:859-278-0033
Practice Address - Street 1:1401 HARRODSBURG RD
Practice Address - Street 2:C100
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-3751
Practice Address - Country:US
Practice Address - Phone:859-278-4960
Practice Address - Fax:859-278-0033
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY27247208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYCF7805OtherRAILROAD MEDICARE
KY64272479Medicaid
KYCN8331OtherRAILROAD MEDICARE
KYCJ2601OtherRAILROAD MEDICARE
KY64272479Medicaid
KYCN8331OtherRAILROAD MEDICARE
KYF23747Medicare UPIN
KY020039395Medicare PIN