Provider Demographics
NPI:1326205931
Name:NEWMAN, CHRISTOPHER CRAIG (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:CRAIG
Last Name:NEWMAN
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 1:115 PROFESSIONAL AVE
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29169-4711
Mailing Address - Country:US
Mailing Address - Phone:412-720-9105
Mailing Address - Fax:
Practice Address - Street 1:115 PROFESSIONAL AVE
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-4711
Practice Address - Country:US
Practice Address - Phone:412-720-9105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC44491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice