Newman, Winona Mae

Newman, Winona Mae is an individual health care provider with primary practice located at 3112 Dick Pond Road , Myrtle Beach SC 29588-4833. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Dentist is her primary health care specialty. Newman, Winona Mae can be contacted via phone (843) 294-5437.

Contact Information

Primary practice address
3112 Dick Pond Road Myrtle Beach SC 29588-4833
Phone: (843) 294-5437
Fax: (843) 294-5440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 3125 South Carolina
Dental Providers / Dentist 122300000X 0401008654 Virginia
Dental Providers / Dentist 122300000X 012326 Georgia
Dental Providers / Pediatric Dentistry 1223P0221X 0476 PD South Carolina

Profile Details

NPI number 1699828681
LBN Legal business name Newman, Winona Mae
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2007
Last updated Mar 3rd, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699828681 NPPES
South Carolina MEDICAID ZX3125
South Carolina MEDICAID ZA929590

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