Healthcare Provider Details

I. General information

NPI: 1568327799
Provider Name (Legal Business Name): NEWINGHAM & KIM, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2425 E LINCOLN ST STE 110
BIRMINGHAM MI
48009-7122
US

IV. Provider business mailing address

2425 E LINCOLN ST STE 110
BIRMINGHAM MI
48009-7122
US

V. Phone/Fax

Practice location:
  • Phone: 248-644-1810
  • Fax: 248-644-2014
Mailing address:
  • Phone: 248-644-1810
  • Fax: 248-644-2014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. JUSTIN C NEWINGHAM
Title or Position: DENTIST/OWNER
Credential: DDS
Phone: 248-644-1810