Provider Demographics
NPI:1427255520
Name:NEWMAN, NORMAN H (DDS)
Entity type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:H
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 E. WASHINGTON BLVD
Mailing Address - Street 2:SUITE 1415
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602
Mailing Address - Country:US
Mailing Address - Phone:312-346-0710
Mailing Address - Fax:312-346-9362
Practice Address - Street 1:55 E WASHINGTON ST
Practice Address - Street 2:SUITE 1415
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-2103
Practice Address - Country:US
Practice Address - Phone:312-346-0710
Practice Address - Fax:312-346-9362
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL19A136572157981223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics