| Ryan Lewis, Dmd, Pllc | |
|
1325 Hover St Ste 103 Longmont CO 80501-3137 | |
| (270) 293-9194 | |
| Not Available |
| Full Name | Ryan Lewis, Dmd, Pllc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 1325 Hover St Ste 103, Longmont, Colorado |
| Authorized Official Name and Position | Ryan Charles Lewis (OWNER) |
| Authorized Official Contact | 2702939194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Lewis, Dmd, Pllc 1325 Hover St Ste 103 Longmont CO 80501-3137 Ph: (270) 293-9194 | Ryan Lewis, Dmd, Pllc 1325 Hover St Ste 103 Longmont CO 80501-3137 Ph: (270) 293-9194 |
| NPI Number | 1124531975 |
|---|---|
| Provider Enumeration Date | 11/14/2017 |
| Last Update Date | 11/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124531975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
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