Newman, Jack Goodrich

Newman, Jack Goodrich is an individual health care provider with primary practice located at 595 N Milledge Ave , Athens GA 30601-3809. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Newman, Jack Goodrich can be contacted via phone (706) 549-2671.

Contact Information

Primary practice address
595 N Milledge Ave Athens GA 30601-3809
Fax: (706) 549-2675
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 9652 Georgia

Profile Details

NPI number 1568551695
LBN Legal business name Newman, Jack Goodrich
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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