Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jefferson Lamar Newbern IV, DMD

Individual provider Dentist · NPI 1497074504

Dr. Jefferson Lamar Newbern IV, DMD is a Dentist in Dayton, Ohio. Licensed in Kentucky and Ohio. Registered with an NPI since 2010.

Licensed in
KY, OH
In the registry since
2010
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

3609 N Dixie Dr
Dayton, OH 45414-5232
Phone: (229) 560-5494
Fax: (937) 278-8232
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 30.027009 (OH)
Dentist Taxonomy 122300000X · Licence 8866 (KY)

Record details

NPI number1497074504
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 28, 2010
Last updated in NPPESJanuary 24, 2025
Certification dateJanuary 24, 2025

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