Provider Demographics
NPI:1205852092
Name:NEWTON, ROBERT DOYLE (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:DOYLE
Last Name:NEWTON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 3RD ST N
Mailing Address - Street 2:
Mailing Address - City:AMORY
Mailing Address - State:MS
Mailing Address - Zip Code:38821-3422
Mailing Address - Country:US
Mailing Address - Phone:662-256-3501
Mailing Address - Fax:662-256-4316
Practice Address - Street 1:107 3RD ST N
Practice Address - Street 2:
Practice Address - City:AMORY
Practice Address - State:MS
Practice Address - Zip Code:38821-3422
Practice Address - Country:US
Practice Address - Phone:662-256-3501
Practice Address - Fax:662-256-4316
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1940-811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS593071OtherUNITED CONCORDIA ID NUMBE