MEDICARE: DR. JOHN H. NEWTON D.M.D.,M.S.

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	139220-9921	UT

General Provider Information

NPI Number	:	1720224538
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN H. NEWTON D.M.D.,M.S.

Provider Business Mailing Address
First Line	:	77 S 700 E
Second Line	:	SUITE 250
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84102-1138
Country	:	US
Telephone Number	:	801-521-5628
Fax Number	:	801-364-9047

Provider Business Practice Location Address
First Line	:	77 S 700 E
Second Line	:	SUITE 250
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84102-1138
Country	:	US
Telephone Number	:	801-521-5628
Fax Number	:	801-364-9047

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2008
Last Update Date	:	12/29/2008

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