Provider Demographics
NPI:1497958037
Name:NEWMAN, GEORGE HARRIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:HARRIS
Last Name:NEWMAN
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 1:7506 WAKE ROBIN DR
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44130-7658
Mailing Address - Country:US
Mailing Address - Phone:440-842-2775
Mailing Address - Fax:440-886-3537
Practice Address - Street 1:6789 RIDGE RD
Practice Address - Street 2:SUITE 304
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-5649
Practice Address - Country:US
Practice Address - Phone:440-886-3535
Practice Address - Fax:440-886-3537
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH110551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice