Provider Demographics
NPI:1851300347
Name:NEWTOWN DENTISRTY FOR KIDS
Entity type:Organization
Organization Name:NEWTOWN DENTISRTY FOR KIDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:LANDES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:215-504-5437
Mailing Address - Street 1:12 PENNS TRL
Mailing Address - Street 2:SUITE-TOOTH
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1892
Mailing Address - Country:US
Mailing Address - Phone:215-504-5423
Mailing Address - Fax:
Practice Address - Street 1:12 PENNS TRL
Practice Address - Street 2:SUITE-TOOTH
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1892
Practice Address - Country:US
Practice Address - Phone:215-504-5423
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS029355L1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty