Provider Demographics
NPI:1760659148
Name:NEWTON FAMILY DENTISTRY, P.C.
Entity Type:Organization
Organization Name:NEWTON FAMILY DENTISTRY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:J
Authorized Official - Last Name:FORSBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:641-792-2598
Mailing Address - Street 1:1422 1ST AVE E
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:IA
Mailing Address - Zip Code:50208-4005
Mailing Address - Country:US
Mailing Address - Phone:641-792-2598
Mailing Address - Fax:641-792-0325
Practice Address - Street 1:1422 1ST AVE E
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:IA
Practice Address - Zip Code:50208-4005
Practice Address - Country:US
Practice Address - Phone:641-792-2598
Practice Address - Fax:641-792-0325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-14
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty