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NPI Code Detail

MEDICARE: DR. ALAN NEWMAN D.D.S.

MEDICARE:  DR. ALAN  NEWMAN  D.D.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
11223X2210XOrofacial Pain Dentistry42582CA
21223S0112XOral and Maxillofacial Surgery (Dentist)DDS42582CA

General Provider Information

NPI Number : 1740296151
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALAN NEWMAN D.D.S.
Provider Business Mailing Address
First Line : 2923 BRADLEY ST
Second Line : SUITE 120
City : PASADENA
State : CA
Zip : 91107-1502
Country : US
Telephone Number : 626-795-6596
Fax Number : 626-795-8247
Provider Business Practice Location Address
First Line : 444 S SAN VICENTE BLVD
Second Line : #1101
City : LOS ANGELES
State : CA
Zip : 90048-4165
Country : US
Telephone Number : 310-423-9600
Fax Number : 310-423-9610
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 01/15/2026

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Directions to “ DR. ALAN NEWMAN D.D.S.” Practice Location

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