Provider Demographics
NPI:1689638355
Name:NEWLAND, JAMES R (DDS MS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:R
Last Name:NEWLAND
Suffix:
Gender:M
Credentials:DDS MS
Other - Prefix:DR
Other - First Name:J ROBERT
Other - Middle Name:
Other - Last Name:NEWLAND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS MS
Mailing Address - Street 1:5001 BISSONNET
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401
Mailing Address - Country:US
Mailing Address - Phone:713-592-9336
Mailing Address - Fax:713-592-9337
Practice Address - Street 1:5001 BISSONNET
Practice Address - Street 2:SUITE 103
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401
Practice Address - Country:US
Practice Address - Phone:713-592-9336
Practice Address - Fax:713-592-9337
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-12
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX93561223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
U52707Medicare UPIN
TXD09356Medicare PIN
TX89774BMedicare PIN