Provider Demographics
NPI:1023292844
Name:NEWTON, VANESSA D (DMD)
Entity type:Individual
Prefix:DR
First Name:VANESSA
Middle Name:D
Last Name:NEWTON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 MAPLE ST STE 201
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-3200
Mailing Address - Country:US
Mailing Address - Phone:508-481-3663
Mailing Address - Fax:508-460-1043
Practice Address - Street 1:340 MAPLE ST STE 201
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-3200
Practice Address - Country:US
Practice Address - Phone:508-481-3663
Practice Address - Fax:508-460-1043
Is Sole Proprietor?:No
Enumeration Date:2007-12-28
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN213001223G0001X
MA213001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice