Kevin Austin Lewis DDS

NPI 1053419051 - Dentist - 1223G0001X

NPI Details
NPI 1053419051
Gender Male
Enumeration Date 09/21/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1 MEDICAL CENTER DRIVE
CLARKSBURG WV, 26301, US
Phone (304) 623-7640
Fax
Business Location
RR 5 BOX 579
CLARKSBURG WV, 26301-9323, US
Phone (304) 745-5215
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State West Virginia
License Number WV3398
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According to our database, Dr. Kevin Austin Lewis DDS NPI is 1053419051, taxonomy code is 1223G0001X and license number is WV3398, license state is located at West Virginia. Kevin Austin Lewis DDS physically located at 1 Medical Center Drive, Clarksburg WV, 26301. NPI Number Kevin Austin Lewis DDS has the Individual type.

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1053419051 NPI number is provided on an as is basis without warranty of any kind. 1053419051 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Austin Lewis DDS are for informational purposes only.