| Jean A. Lewis Dmd, Pc | |
|
1245 Se 3rd St Ste A1 Bend OR 97702-2162 | |
| (520) 490-5743 | |
| Not Available |
| Full Name | Jean A. Lewis Dmd, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1245 Se 3rd St Ste A1, Bend, Oregon |
| Authorized Official Name and Position | Jean A. Lewis (PRESIDENT) |
| Authorized Official Contact | 5204905743 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jean A. Lewis Dmd, Pc 1245 Se 3rd St Ste A1 Bend OR 97702-2162 Ph: (520) 490-5743 | Jean A. Lewis Dmd, Pc 1245 Se 3rd St Ste A1 Bend OR 97702-2162 Ph: (520) 490-5743 |
| NPI Number | 1306071667 |
|---|---|
| Provider Enumeration Date | 05/15/2009 |
| Last Update Date | 01/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306071667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D9804 (Oregon) | Primary |
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