person
Austin Mitchell Newsome, LD
Denturist in Coos Bay, Oregon
NPI 1093372039

Austin Mitchell Newsome is a Denturist based in Coos Bay, OR. Austin Mitchell Newsome practices in Coos Bay, OR and has the professional credentials of LD. The NPI Number for Austin Mitchell Newsome is 1093372039 and holds a License No. DN60778096 (Oregon).

The current practice location address for Austin Mitchell Newsome is 215 Curtis Ave, Coos Bay, OR and can be reached out via phone at 541-604-6053.

Location: 215 Curtis Ave, Coos Bay, OR, 97420-1619
person
Provider Profile Details
NPI Number
1093372039
Provider Name
Austin Mitchell Newsome
Credential
LD
Provider Entity Type
Individual
Gender
Male
Address
215 Curtis Ave, Coos Bay, OR, 97420-1619
Phone Number
541-604-6053
Fax Number
Provider Enumeration Date
05/24/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DT-DO-10224514 01 OR OREGON HEALTH LICENSING BOARD OF DENTURE TECHNOLOGY
DEN-DTR-LIC-23568 01 MT STATE OF MONTANA BUSINESS STANDARDS DIVISION
DN60778096 01 WA WASHINGTON DEPARTMENT OF HEALTH
institution
Provider Business Practice Location Address Details
Address
215 Curtis Ave
City
State
Zip
97420-1619
Phone Number
541-604-6053
Fax Number
person
Provider Business Mailing Address Details
Address
215 Curtis Ave
City
State
Zip
97420-1619
Phone Number
541-604-6053
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
License No.
DN60778096 (Washington)
Definition
Definition to come.
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