Provider Demographics
NPI:1538326293
Name:CHARLES NEWENS, DDS
Entity Type:Organization
Organization Name:CHARLES NEWENS, DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:N
Authorized Official - Last Name:NEWENS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:916-332-9240
Mailing Address - Street 1:5615 MANZANITA AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-6501
Mailing Address - Country:US
Mailing Address - Phone:916-332-9240
Mailing Address - Fax:916-650-0904
Practice Address - Street 1:5615 MANZANITA AVE
Practice Address - Street 2:SUITE A
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-6501
Practice Address - Country:US
Practice Address - Phone:916-332-9240
Practice Address - Fax:916-650-0904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty