| Kevin E. Lew, Dds, Md, Pllc | |
|
6701 Rialto Blvd Apt 2202 Austin TX 78735-8597 | |
| (512) 828-3128 | |
| Not Available |
| Full Name | Kevin E. Lew, Dds, Md, Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 6701 Rialto Blvd Apt 2202, Austin, Texas |
| Authorized Official Name and Position | Kevin Edward Lew (PRESIDENT) |
| Authorized Official Contact | 2138647670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin E. Lew, Dds, Md, Pllc 6705 W Highway 290 Ste 502-273 Austin TX 78735-8400 Ph: (213) 864-7670 | Kevin E. Lew, Dds, Md, Pllc 6701 Rialto Blvd Apt 2202 Austin TX 78735-8597 Ph: (512) 828-3128 |
| NPI Number | 1629703509 |
|---|---|
| Provider Enumeration Date | 07/23/2022 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629703509 | NPI | - | NPPES |
| 3204324 | Other | TX | INDIVIDUAL NUMBER |
| 38024 | Other | TX | DDS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Jared Poplin D.m.d., Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6850 Austin Center Blvd Ste 220, Austin, TX 78731 Phone: 785-691-6171 | |
Ac Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13616 N Highway 183, Austin, TX 78750 Phone: 512-682-5437 | |