Healthcare Provider Details
I. General information
NPI: 1588070866
Provider Name (Legal Business Name): BRIEANNA LISE NEWTON DDS, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/07/2014
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3617 W ARROWHEAD RD
DULUTH MN
55811-4132
US
IV. Provider business mailing address
2104 PONDEROSA AVE
DULUTH MN
55811-4416
US
V. Phone/Fax
- Phone: 218-722-4484
- Fax:
- Phone: 651-491-3550
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | D13371 |
| License Number State | MN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: