Provider Demographics
NPI:1144675422
Name:NEWSOME, ALBERT RAY III (DDS)
Entity type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:RAY
Last Name:NEWSOME
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:901 N LINDSAY ST
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-3903
Mailing Address - Country:US
Mailing Address - Phone:336-884-8771
Mailing Address - Fax:
Practice Address - Street 1:901 N LINDSAY ST
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-3903
Practice Address - Country:US
Practice Address - Phone:336-884-8771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-25
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC121761223S0112X, 1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery