Provider Demographics
NPI:1821319369
Name:NEWMAN, MEREDITH YPMA (DMD)
Entity Type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:YPMA
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:MEREDITH
Other - Middle Name:ANN
Other - Last Name:YPMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:3248 EL DORADO AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93619-6927
Mailing Address - Country:US
Mailing Address - Phone:412-952-7030
Mailing Address - Fax:
Practice Address - Street 1:1243 E SPRUCE AVE STE 101
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3379
Practice Address - Country:US
Practice Address - Phone:559-436-8101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-18
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1046071223E0200X
NY056524122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Yes1223E0200XDental ProvidersDentistEndodontics