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NPI Code Detail

MEDICARE: DR. WILLIAM LLEWELLYN NEWBERRY D.D.S.

MEDICARE: DR. WILLIAM LLEWELLYN NEWBERRY 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
11223G0001XGeneral Practice Dentistry0401005361VA

General Provider Information

NPI Number : 1952561052
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM LLEWELLYN NEWBERRY D.D.S.
Provider Business Mailing Address
First Line : 1717 BELLEVUE AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23227-3961
Country : US
Telephone Number : 804-262-5445
Fax Number : 804-262-0730
Provider Business Practice Location Address
First Line : 1717 BELLEVUE AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23227-3961
Country : US
Telephone Number : 804-262-5445
Fax Number : 804-262-0730
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2008
Last Update Date : 06/11/2008

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