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NPI Code Detail

MEDICARE: DR. ALISON L NEWGARD DDS

MEDICARE:  DR. ALISON L NEWGARD  DDS
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
11223G0001XGeneral Practice Dentistry055159NY

General Provider Information

NPI Number : 1407086838
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALISON L NEWGARD DDS
Provider Business Mailing Address
First Line : 5800 3RD AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-3702
Country : US
Telephone Number : 718-630-8873
Fax Number : 718-492-5090
Provider Business Practice Location Address
First Line : 5800 3RD AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-3702
Country : US
Telephone Number : 718-630-8873
Fax Number : 718-492-5090
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2009
Last Update Date : 02/01/2013

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Directions to “ DR. ALISON L NEWGARD DDS” Practice Location

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