| Lewis A. Wilk, Dmd, Pc | |
|
1101 N Fifth St Stroudsburg PA 18360 | |
| (570) 421-3512 | |
| (570) 420-8134 |
| Full Name | Lewis A. Wilk, Dmd, Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1101 N Fifth St, Stroudsburg, Pennsylvania |
| Authorized Official Name and Position | Lewis A. Wilk (OWNER) |
| Authorized Official Contact | 5704213512 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewis A. Wilk, Dmd, Pc 1101 N Fifth St Stroudsburg PA 18360 Ph: (570) 421-3512 | Lewis A. Wilk, Dmd, Pc 1101 N Fifth St Stroudsburg PA 18360 Ph: (570) 421-3512 |
| NPI Number | 1417080797 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 08/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417080797 | NPI | - | NPPES |
| 081994 | Other | PA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 018990-L (Pennsylvania) | Primary |
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