Ted Charles Lewis DMD

NPI 1982722336 - Dentist - 1223G0001X

NPI Details
NPI 1982722336
Gender Male
Enumeration Date 03/26/2007
Last Updated 10/14/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
4780 CRANDALL LANESVILLE RD NE
CORYDON IN, 47112-7058, US
Phone (573) 380-6235
Fax
Business Location
4780 CRANDALL LANESVILLE RD NE
CORYDON IN, 47112-7058, US
Phone (573) 380-6235
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Indiana
License Number 12012055A
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According to our database, Ted Charles Lewis DMD NPI is 1982722336, taxonomy code is 1223G0001X and license number is 12012055A, license state is located at Indiana. Ted Charles Lewis DMD physically located at 4780 Crandall Lanesville Rd Ne, Corydon IN, 47112-7058. NPI Number Ted Charles Lewis DMD has the Individual type.

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1982722336 NPI number is provided on an as is basis without warranty of any kind. 1982722336 is maintained by the National Plan & Provider Enumeration System. The contents of Ted Charles Lewis DMD are for informational purposes only.