NPI 1619049962

Shane Lee Newton, DMD

Practitioner Dentist McCall, ID

Practice location

Address: 307 E Park St STE 103, McCall, ID 83638-3863
Phone: (208) 634-5255
Fax: (208) 634-1047

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence D3280 (ID)

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Registry record

NPI: 1619049962
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Nov 2006
Record last updated: 21 Jul 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.