MEDICARE: NEWINGHAM & KIM, PLLC

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	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1568327799
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEWINGHAM & KIM, PLLC

Provider Business Mailing Address
First Line	:	2425 E LINCOLN ST STE 110
Second Line	:
City	:	BIRMINGHAM
State	:	MI
Zip	:	48009-7122
Country	:	US
Telephone Number	:	248-644-1810
Fax Number	:	248-644-2014

Provider Business Practice Location Address
First Line	:	2425 E LINCOLN ST STE 110
Second Line	:
City	:	BIRMINGHAM
State	:	MI
Zip	:	48009-7122
Country	:	US
Telephone Number	:	248-644-1810
Fax Number	:	248-644-2014

Authorized Official
Title or Position	:	DENTIST/OWNER
Name	:	DR. JUSTIN C NEWINGHAM
Credential	:	DDS
Telephone Number	:	248-644-1810

Provider Enumeration Date	:	12/19/2025
Last Update Date	:	12/19/2025

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