Whalio Doctors

NPI 1003021957

Eddy Joe Newberry, DMD

Practitioner General Practice Dentistry Glasgow, KY

Practice location

Address
400 S. Broadway, Glasgow, KY 42141
Phone
(270) 651-2979
Mailing address
599 Fox Trl, Glasgow, KY 42141-7873

Registered specialties (2)

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 7951 (KY)
Dentist
Dental Providers Taxonomy 122300000X Licence 7951 (KY)

Registry record

NPI
1003021957
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 May 2007
Record last updated
11 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.