Provider Demographics
NPI:1326853979
Name:NEWAZ ORTHODONTICS PLLC
Entity type:Organization
Organization Name:NEWAZ ORTHODONTICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ZUBAD
Authorized Official - Middle Name:A
Authorized Official - Last Name:NEWAZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:734-223-5794
Mailing Address - Street 1:71 KNIGHT LN STE 10
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:VT
Mailing Address - Zip Code:05495-4514
Mailing Address - Country:US
Mailing Address - Phone:802-876-7803
Mailing Address - Fax:
Practice Address - Street 1:71 KNIGHT LN STE 10
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:VT
Practice Address - Zip Code:05495-4514
Practice Address - Country:US
Practice Address - Phone:802-876-7803
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty