Provider Demographics
NPI:1518009091
Name:NEWTON, REEVE SCOTT (DDS)
Entity Type:Individual
Prefix:DR
First Name:REEVE
Middle Name:SCOTT
Last Name:NEWTON
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 1:10624 STARLITE COURT
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801
Mailing Address - Country:US
Mailing Address - Phone:907-209-6036
Mailing Address - Fax:
Practice Address - Street 1:3245 HOSPITAL DRIVE
Practice Address - Street 2:SEARHC DENTAL CLINIC
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801
Practice Address - Country:US
Practice Address - Phone:907-463-6602
Practice Address - Fax:907-463-4032
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAD216241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice