| Lewis Family Dentistry | |
|
4140 Ramsey St Ste 104 Fayetteville NC 28311-7658 | |
| (910) 488-0518 | |
| (910) 630-2432 |
| Full Name | Lewis Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4140 Ramsey St Ste 104, Fayetteville, North Carolina |
| Authorized Official Name and Position | Kenneth Boyd Lewis (DENTIST) |
| Authorized Official Contact | 9104880518 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewis Family Dentistry 4140 Ramsey St Suite 104 Fayetteville NC 28311-7672 Ph: (910) 488-0518 | Lewis Family Dentistry 4140 Ramsey St Ste 104 Fayetteville NC 28311-7658 Ph: (910) 488-0518 |
| NPI Number | 1336317692 |
|---|---|
| Provider Enumeration Date | 02/20/2008 |
| Last Update Date | 07/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336317692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5029 (North Carolina) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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