Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANE LEE NEWTON, DMD
Active Sole ProprietorDR. SHANE LEE NEWTON, DMD is a Dentist healthcare provider located in MCCALL, Idaho. NPI 1619049962 is currently active in the NPPES registry. Verify at CMS.
Dentist · MCCALL, ID
Registration Details
- NPI Number
- 1619049962
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 14, 2006 (19.730144755428 yrs)
- Last Updated
- Jul 21, 2022
- License
-
D3280 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
307 E PARK ST STE 103MCCALL, ID, 836383863Browse ID providers · Browse ZIP 83638
- Phone
- 2086345255
- Fax
- 2086341047
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in MCCALL, ID
| Name | Credential | NPI |
|---|---|---|
| J MARK JENSEN | D.M.D. | 1386733459 |
| RICHARD DAVID WILDMAN | DMD | 1003999749 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.