Provider Demographics
NPI:1255508651
Name:NEWBY, MONICA L (DDS)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:L
Last Name:NEWBY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5050 OAKLAWN DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45227-1434
Mailing Address - Country:US
Mailing Address - Phone:513-531-7566
Mailing Address - Fax:513-791-1485
Practice Address - Street 1:5050 OAKLAWN DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45227-1434
Practice Address - Country:US
Practice Address - Phone:513-531-7566
Practice Address - Fax:513-791-1485
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-14
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH205461223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics