Provider Demographics
NPI:1376227694
Name:NEWTON, MILES HARRISON (DMD)
Entity type:Individual
Prefix:DR
First Name:MILES
Middle Name:HARRISON
Last Name:NEWTON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1302 E 20TH ST
Mailing Address - Street 2:
Mailing Address - City:STUTTGART
Mailing Address - State:AR
Mailing Address - Zip Code:72160-6906
Mailing Address - Country:US
Mailing Address - Phone:479-460-6524
Mailing Address - Fax:
Practice Address - Street 1:2702 S MAIN ST
Practice Address - Street 2:
Practice Address - City:STUTTGART
Practice Address - State:AR
Practice Address - Zip Code:72160-7038
Practice Address - Country:US
Practice Address - Phone:901-448-6476
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-15
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR47021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice