Provider Demographics
NPI:1558373415
Name:MCNEW, DANETTE (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANETTE
Middle Name:
Last Name:MCNEW
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 E RALPH M HALL PKWY
Mailing Address - Street 2:SUITE 114
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-7302
Mailing Address - Country:US
Mailing Address - Phone:972-771-2213
Mailing Address - Fax:469-698-9879
Practice Address - Street 1:1300 E RALPH M HALL PKWY
Practice Address - Street 2:SUITE 114
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-7302
Practice Address - Country:US
Practice Address - Phone:972-771-2213
Practice Address - Fax:469-698-9879
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX158081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice