| William L Lewis D.d.s.,p.a. | |
|
216 Forest St Kenyon MN 55946-1151 | |
| (507) 789-6211 | |
| (507) 789-6210 |
| Full Name | William L Lewis D.d.s.,p.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 216 Forest St, Kenyon, Minnesota |
| Authorized Official Name and Position | William L Lewis (OWNERCEO) |
| Authorized Official Contact | 5077896211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William L Lewis D.d.s.,p.a. 216 Forest St Kenyon MN 55946-1151 Ph: (507) 789-6211 | William L Lewis D.d.s.,p.a. 216 Forest St Kenyon MN 55946-1151 Ph: (507) 789-6211 |
| NPI Number | 1043363138 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043363138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D 10085 (Minnesota) | Primary |
Main Street Dental Of Kenyon Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 216 Forest St, Kenyon, MN 55946 Phone: 507-789-6815 |