MEDICARE: DR. JOHN FRANCIS LEWIS D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	22D100962400	NJ

General Provider Information

NPI Number	:	1386800118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN FRANCIS LEWIS D.D.S.

Provider Business Mailing Address
First Line	:	8503 PACIFIC AVE
Second Line	:
City	:	WILDWOOD CREST
State	:	NJ
Zip	:	08260-3529
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8503 PACIFIC AVE
Second Line	:
City	:	WILDWOOD CREST
State	:	NJ
Zip	:	08260-3529
Country	:	US
Telephone Number	:	609-729-5146
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2008
Last Update Date	:	07/31/2008

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