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NPI Code Detail

MEDICARE: JOHN G NEWKIRK DDS INC

MEDICARE: JOHN G NEWKIRK DDS INC
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 Dentistry8819TX

General Provider Information

NPI Number : 1720095359
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHN G NEWKIRK DDS INC
Provider Business Mailing Address
First Line : 6769 LAKE WOODLANDS DR
Second Line : SUITE C
City : THE WOODLANDS
State : TX
Zip : 77382-2770
Country : US
Telephone Number : 281-465-8632
Fax Number : 281-465-8607
Provider Business Practice Location Address
First Line : 6769 LAKE WOODLANDS DR
Second Line : SUITE C
City : THE WOODLANDS
State : TX
Zip : 77382-2770
Country : US
Telephone Number : 281-465-8632
Fax Number : 281-465-8607
Authorized Official
Title or Position : DENTIST
Name : DR. JOHN G NEWKIRK
Credential : DDS
Telephone Number : 281-465-8632
Provider Enumeration Date : 08/03/2006
Last Update Date : 08/22/2020

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Directions to “JOHN G NEWKIRK DDS INC ” Practice Location

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