Provider Demographics
NPI:1316183098
Name:NEWELL, DAVID AUSTIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:AUSTIN
Last Name:NEWELL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 COUNTY RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:MINDEN
Mailing Address - State:NV
Mailing Address - Zip Code:89423-4461
Mailing Address - Country:US
Mailing Address - Phone:775-782-4525
Mailing Address - Fax:775-782-2134
Practice Address - Street 1:1700 COUNTY RD
Practice Address - Street 2:SUITE E
Practice Address - City:MINDEN
Practice Address - State:NV
Practice Address - Zip Code:89423-4461
Practice Address - Country:US
Practice Address - Phone:775-782-4525
Practice Address - Fax:775-782-2134
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-30
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV48221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice