Doctor Name: | DR. KRISTIN L. NEWSOM |
NPI Number: | 1043400674 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DDS, MS, INC. |
License Number: | 55823 |
Business Practice Address: | 4260 El Camino Real Atascadero, CA - 93422 |
Business Phone Number: | 8054611182 |
Business Fax Number: | 8054615162 |
Mailing Address: | 4260 El Camino Real, ATASCADERO |
State: | CA |
Postal Code: | 93422 |
Phone Number: | 8054611182 |
Fax Number: | 8054615162 |
NPI Enumeration Date: | 07/30/2007 |
NPI Last Update Date: | 09/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 55823 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |