Provider Demographics
NPI:1740575349
Name:NEWMAN, MARC FRANKLIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:FRANKLIN
Last Name:NEWMAN
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 1:3945 EAGLE CREEK PKWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46254-5617
Mailing Address - Country:US
Mailing Address - Phone:317-293-3000
Mailing Address - Fax:317-293-6773
Practice Address - Street 1:3945 EAGLE CREEK PKWY
Practice Address - Street 2:SUITE A
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46254-5617
Practice Address - Country:US
Practice Address - Phone:317-293-3000
Practice Address - Fax:317-293-6773
Is Sole Proprietor?:No
Enumeration Date:2011-06-13
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12011655A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice