| Lewis Cosmetic & Family Dentistry Pllc | |
|
6711 75 Street Middle Village NY 11379-2630 | |
| (718) 326-1212 | |
| (718) 894-6132 |
| Full Name | Lewis Cosmetic & Family Dentistry Pllc |
|---|---|
| Speciality | Dentist |
| Location | 6711 75 Street, Middle Village, New York |
| Authorized Official Name and Position | David Hanley Lewis (MEMBER DENTIST) |
| Authorized Official Contact | 7183261212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewis Cosmetic & Family Dentistry Pllc 6711 75 Street Middle Village NY 11379-2630 Ph: (718) 326-1212 | Lewis Cosmetic & Family Dentistry Pllc 6711 75 Street Middle Village NY 11379-2630 Ph: (718) 326-1212 |
| NPI Number | 1902989742 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902989742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 045565 (New York) | Primary |
| 122300000X | Dentist | 024547 (New York) | Secondary |
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