Cory Lynn Newsom-Broughto in Memphis - Dentist

Cory Lynn Newsom-Broughto - NPI 1891783957

Cory Lynn Newsom-Broughto is a Dentist in Memphis, Tennessee. Cory Lynn Newsom-Broughto practices all healthcare services and medical treatments related to Dentist. The NPI Number for Cory Lynn Newsom-Broughto is 1891783957. The last update date is 2011-06-30.

Cory Lynn Newsom-Broughto's current location address is 4762 Gilbert Rd, Memphis, Tennessee. You can contact this provider via phone number 9013962797. The mailing address for Cory Lynn Newsom-Broughto is 4762 Gilbert Rd, Memphis, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Cory Lynn Newsom-Broughto
Address 4762 Gilbert Rd, Memphis, Tennessee
Phone Number 9013962797
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1891783957
Provider Enumeration Date 2005-10-12
Last Updated Date 2011-06-30

Provider Mailing Address Detail

Address 4762 Gilbert Rd
City Memphis
State Tennessee (TN)
Post Code 381167301
Phone Number 9013962797
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 8043
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Cory Lynn Newsom-Broughto

What is the unique identifier code issued to Cory Lynn Newsom-Broughto by the Centers for Medicare & Medicaid Services (CMS)?

The Cory Lynn Newsom-Broughto has been assigned the NPI (National Provider Identifier) 1891783957. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Cory Lynn Newsom-Broughto located?

The Cory Lynn Newsom-Broughto is located at 4762 Gilbert Rd, Memphis, TN 381167301.

What is Cory Lynn Newsom-Broughto's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Cory Lynn Newsom-Broughto's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1891783957 to Cory Lynn Newsom-Broughto?

The Centers for Medicare & Medicaid Services originally issued the 1891783957 to Cory Lynn Newsom-Broughto on 2005-10-12.

When was the information regarding Cory Lynn Newsom-Broughto, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Cory Lynn Newsom-Broughto, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-06-30.

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