Whalio Doctors

NPI 1093372039

Austin Mitchell Newsome, LD

Practitioner Denturist Coos Bay, OR

Practice location

Address
215 Curtis Ave, Coos Bay, OR 97420-1619
Phone
(541) 604-6053

Registered specialties (2)

Denturist Primary
Dental Providers Taxonomy 122400000X Licence DT-DO-10224514 (OR)
Denturist
Dental Providers Taxonomy 122400000X Licence DN60778096 (WA)

Registry record

NPI
1093372039
Entity type
Individual
Sex (as registered)
Male
NPI issued
24 May 2019
Record last updated
4 Aug 2022

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.