Most Relevant Information
Provider Data
| NPI Number: | 1003021957 |
| Provider Name: | EDDY JOE NEWBERRY D.M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 7951 |
Most Important Dates
| Enumeration Date: | 05/14/2007 |
| Last Updated: | 05/11/2011 |
Provider Practice Location
400 S. BROADWAY
GLASGOW
KY
42141
Practice Location Phone/Fax
| Phone: | 2706512979 |
| Fax: |
Provider Mailing Location
599 FOX TRL
GLASGOW
KY
421417873
Provider Mailing Phone/Fax
| Phone: | 2706782932 |
| Fax: |