Provider Demographics
NPI:1801813365
Name:NEWMAN, MARLAYNE CAMILLE (DDS)
Entity Type:Individual
Prefix:MS
First Name:MARLAYNE
Middle Name:CAMILLE
Last Name:NEWMAN
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 1:2814 14TH AVE. SE
Mailing Address - Street 2:
Mailing Address - City:RUSKIN
Mailing Address - State:FL
Mailing Address - Zip Code:33570
Mailing Address - Country:US
Mailing Address - Phone:813-326-7976
Mailing Address - Fax:
Practice Address - Street 1:2814 14TH AVE. SE
Practice Address - Street 2:SUNCOAST COMMUNITY HEALTH CENTER
Practice Address - City:RUSKIN
Practice Address - State:FL
Practice Address - Zip Code:33570
Practice Address - Country:US
Practice Address - Phone:813-349-7834
Practice Address - Fax:813-349-7561
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN173861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice