Provider Demographics
NPI:1922462613
Name:NEWTON, KAYLA (DMD)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:NEWTON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:KAYLA
Other - Middle Name:A
Other - Last Name:BROOKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BROOKS
Mailing Address - Street 1:740 S LIMESTONE
Mailing Address - Street 2:RM A210
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536
Mailing Address - Country:US
Mailing Address - Phone:770-653-3740
Mailing Address - Fax:
Practice Address - Street 1:2701 OLD WINDER HWY
Practice Address - Street 2:
Practice Address - City:BRASELTON
Practice Address - State:GA
Practice Address - Zip Code:30517-6102
Practice Address - Country:US
Practice Address - Phone:770-965-2340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-08
Last Update Date:2018-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY97401223P0221X
GADN0154911223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry