MEDICARE: NEWSOME FAMILY DENTISTRY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	3642	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063551901
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEWSOME FAMILY DENTISTRY

Provider Business Mailing Address
First Line	:	1701 SAINT JULIAN PL
Second Line	:	SUITE 202
City	:	COLUMBIA
State	:	SC
Zip	:	29204-2418
Country	:	US
Telephone Number	:	803-254-2465
Fax Number	:	803-254-3008

Provider Business Practice Location Address
First Line	:	2120 N. BELTLINE BLVD
Second Line	:	STE A
City	:	COLUMBIA
State	:	SC
Zip	:	29204-3905
Country	:	US
Telephone Number	:	803-782-6966
Fax Number	:	803-782-6966

Authorized Official
Title or Position	:	OWNER/DENTIST
Name	:	DR. JARRETT RUSSELL NEWSOME
Credential	:	DDS
Telephone Number	:	803-782-6966

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	11/01/2021

Similar Medicare Providers

1063361947 — ELEVATED WELLNESS
Practice Location Address:

2100 N BELTLINE BLVD
COLUMBIA, SC
29204-3905

Practice Phone: 803-667-5644
Practice Fax:

1598856353 — SOUTH CAROLINA PERIODONTOLOGY PA
Practice Location Address:

2120 N BELTLINE BOULEVARD
COLUMBIA, SC
29204-3905

Practice Phone: 803-782-0528
Practice Fax: 803-782-1036

1134211261 — DR. WILLIAM CLEVELAND JAMES JR. DDS
Practice Location Address:

2120 N BELTLINE BLVD
COLUMBIA, SC
29204-3905

Practice Phone: 803-782-0528
Practice Fax: 803-782-1036

1235258393 — COUNSELING & CONSULTANT SERVICES LLC
Practice Location Address:

3905 W BELTLINE BLVD , SUITE 15
COLUMBIA, SC
29204-1503

Practice Phone: 803-422-3265
Practice Fax: 803-988-1068

1780841981 — METRO ONE AMBULANCE INC.
Practice Location Address:

3905 W BELTLINE BLVD , STE 17
COLUMBIA, SC
29204-1503

Practice Phone: 803-586-9729
Practice Fax:

1992144513 — SOUTH CAROLINA VIP TOURS LLC
Practice Location Address:

3905 W BELTLINE BLVD
COLUMBIA, SC
29204-1503

Practice Phone: 803-254-6944
Practice Fax: 803-253-6334

Directions to “NEWSOME FAMILY DENTISTRY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.