Provider Demographics
NPI:1023619236
Name:NEWTON, WILLIAM GARNETT (DDS)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:GARNETT
Last Name:NEWTON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 YELVINGTON RD.
Mailing Address - Street 2:
Mailing Address - City:EAST PALATKA
Mailing Address - State:FL
Mailing Address - Zip Code:32131
Mailing Address - Country:US
Mailing Address - Phone:386-326-6707
Mailing Address - Fax:386-326-6838
Practice Address - Street 1:128 YELVINGTON RD.
Practice Address - Street 2:
Practice Address - City:EAST PALATKA
Practice Address - State:FL
Practice Address - Zip Code:32131
Practice Address - Country:US
Practice Address - Phone:386-326-6707
Practice Address - Fax:386-326-6838
Is Sole Proprietor?:No
Enumeration Date:2020-11-04
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901010013122300000X
FLDTC112122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist