| Newsome Family Dentistry | |
|
2120 N. Beltline Blvd Ste A Columbia SC 29204-3905 | |
| (803) 782-6966 | |
| (803) 782-6966 |
| Full Name | Newsome Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 2120 N. Beltline Blvd, Columbia, South Carolina |
| Authorized Official Name and Position | Jarrett Russell Newsome (OWNER/DENTIST) |
| Authorized Official Contact | 8037826966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newsome Family Dentistry 1701 Saint Julian Pl Suite 202 Columbia SC 29204-2418 Ph: (803) 254-2465 | Newsome Family Dentistry 2120 N. Beltline Blvd Ste A Columbia SC 29204-3905 Ph: (803) 782-6966 |
| NPI Number | 1063551901 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 11/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063551901 | NPI | - | NPPES |
| ZX3642 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3642 (South Carolina) | Primary |
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