Provider Demographics
NPI:1720224538
Name:NEWTON, JOHN H (DMD,MS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:H
Last Name:NEWTON
Suffix:
Gender:M
Credentials:DMD,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 S 700 E
Mailing Address - Street 2:SUITE 250
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84102-1138
Mailing Address - Country:US
Mailing Address - Phone:801-521-5628
Mailing Address - Fax:801-364-9047
Practice Address - Street 1:77 S 700 E
Practice Address - Street 2:SUITE 250
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84102-1138
Practice Address - Country:US
Practice Address - Phone:801-521-5628
Practice Address - Fax:801-364-9047
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-29
Last Update Date:2008-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT139220-99211223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics