Jay V Lewis D.D.S.

NPI 1659415081 - Dentist - 122300000X

NPI Details
NPI 1659415081
Gender Male
Enumeration Date 02/18/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2401 E BROADWAY
LOGANSPORT IN, 46947-2056, US
Phone (574) 722-3107
Fax
Business Location
2401 E BROADWAY
P.O. BOX 1327
LOGANSPORT IN, 46947-2056, US
Phone (574) 722-3107
Fax
Toxanomy
Taxonomy Code 122300000X
License State Indiana
License Number 12008646
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According to our database, Dr. Jay V Lewis D.D.S. NPI is 1659415081, taxonomy code is 122300000X and license number is 12008646, license state is located at Indiana. Jay V Lewis D.D.S. physically located at 2401 E Broadway, Logansport IN, 46947-2056. NPI Number Jay V Lewis D.D.S. has the Individual type.

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1659415081 NPI number is provided on an as is basis without warranty of any kind. 1659415081 is maintained by the National Plan & Provider Enumeration System. The contents of Jay V Lewis D.D.S. are for informational purposes only.