| Shad J. Lewis, Dmd Ma Llc | |
|
2211 Quarry Dr Reading PA 19609-1161 | |
| (610) 678-5700 | |
| Not Available |
| Full Name | Shad J. Lewis, Dmd Ma Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2211 Quarry Dr, Reading, Pennsylvania |
| Authorized Official Name and Position | Shad John Lewis (OWNER/DENTIST) |
| Authorized Official Contact | 6106785700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shad J. Lewis, Dmd Ma Llc 2211 Quarry Dr Reading PA 19609-1161 Ph: (610) 678-5700 | Shad J. Lewis, Dmd Ma Llc 2211 Quarry Dr Reading PA 19609-1161 Ph: (610) 678-5700 |
| NPI Number | 1699391896 |
|---|---|
| Provider Enumeration Date | 06/23/2020 |
| Last Update Date | 06/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699391896 | NPI | - | NPPES |
| 0019646560003 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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