Lewis Dental Group, Pllc | |
20 N Washington Ave Brownsville TN 38012-2555 | |
(731) 779-0889 | |
Not Available |
Full Name | Lewis Dental Group, Pllc |
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Speciality | Dentist - General Practice |
Location | 20 N Washington Ave, Brownsville, Tennessee |
Authorized Official Name and Position | Peete Duane Lewis (OWNER) |
Authorized Official Contact | 6158286811 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lewis Dental Group, Pllc 1299 Bridgeton Park Dr Brentwood TN 37027-8341 Ph: () - | Lewis Dental Group, Pllc 20 N Washington Ave Brownsville TN 38012-2555 Ph: (731) 779-0889 |
NPI Number | 1013233121 |
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Provider Enumeration Date | 04/14/2010 |
Last Update Date | 04/14/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013233121 | NPI | - | NPPES |
1505474 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 8692 (Tennessee) | Primary |
Premier Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1203 E College St, Brownsville, TN 38012 Phone: 731-772-4567 Fax: 731-772-6679 | |
Russell Dental Group, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Peachtree Plz, Brownsville, TN 38012 Phone: 731-772-2107 |