Provider Demographics
NPI:1376694414
Name:CHEVIES L NEWMAN, D.D.S.
Entity Type:Organization
Organization Name:CHEVIES L NEWMAN, D.D.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHEVIES
Authorized Official - Middle Name:L
Authorized Official - Last Name:NEWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:225-383-8359
Mailing Address - Street 1:4378 GOVERNMENT ST
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-5813
Mailing Address - Country:US
Mailing Address - Phone:225-383-8359
Mailing Address - Fax:225-383-8350
Practice Address - Street 1:4378 GOVERNMENT ST
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-5813
Practice Address - Country:US
Practice Address - Phone:225-383-8359
Practice Address - Fax:225-383-8350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA23711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1823716Medicaid