- Practice location
- 8 John St, Southport, CT 06890-1437
- Phone
- 203-319-1300
- Fax
- 203-319-0893
- Last updated
- July 21, 2020
Jack Newton is a Dentist based in Southport, CT. Jack Newton practices in Southport, CT and has the professional credentials of DMD. The NPI Number for Jack Newton is 1073001475 and holds a License No. 12605 (CT). The current practice location address for Jack Newton is 8 John St, Southport, CT 06890-1437 and can be reached out via phone at 203-319-1300 and via fax at 203-319-0893.
Provider Profile Details
- NPI Number
- 1073001475
- Provider Name
- Jack Newton
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 8 John St, Southport, CT 06890-1437
- Phone Number
- 203-319-1300
- Fax Number
- 203-319-0893
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 1, 2018
- Last Update Date
- July 21, 2020
- Certification Date
- July 21, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 8 John St
Southport, CT 06890-1437 - City
- Southport
- State
- Connecticut
- Zip
- 06890-1437
- Phone Number
- 203-319-1300
- Fax Number
- 203-319-0893
Provider Business Mailing Address Details
- Address
- 8 John St
Southport, CT 06890-1437 - City
- Southport
- State
- CT
- Zip
- 06890-1437
- Phone Number
- 203-319-1300
- Fax Number
- 203-319-0893
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 12605
- License State (2)
- CT
- Taxonomy (2)
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Southport, CT
View all Dentists in Southport →Frequently Asked Questions
What is the NPI number of Jack Newton, DMD?
The NPI number of Jack Newton, DMD is 1073001475. It was assigned on May 1, 2018 and is currently active in the NPPES registry.
What is the specialty of Jack Newton, DMD?
Jack Newton, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 12605.
Where does Jack Newton, DMD practice?
The practice location is 8 John St, Southport, CT 06890-1437. The office can be reached at 203-319-1300 (phone) or 203-319-0893 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073001475 directly on the NPPES registry website.