Provider Demographics
NPI:1720095359
Name:JOHN G NEWKIRK DDS INC
Entity Type:Organization
Organization Name:JOHN G NEWKIRK DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:G
Authorized Official - Last Name:NEWKIRK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-465-8632
Mailing Address - Street 1:6769 LAKE WOODLANDS DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77382-2770
Mailing Address - Country:US
Mailing Address - Phone:281-465-8632
Mailing Address - Fax:281-465-8607
Practice Address - Street 1:6769 LAKE WOODLANDS DR
Practice Address - Street 2:SUITE C
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77382-2770
Practice Address - Country:US
Practice Address - Phone:281-465-8632
Practice Address - Fax:281-465-8607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty