MEDICARE: DR. CHRISTOPHER J LEWANDOWSKI DDS

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	D4979	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AZ0402940	OTHER	AZ	BCBS AZ PROVIDER ID#
2	1557354	OTHER	AZ	UNITED CONCORDIA PROV ID

General Provider Information

NPI Number	:	1396703468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER J LEWANDOWSKI DDS

Provider Business Mailing Address
First Line	:	8575 E PRINCESS DR
Second Line	:	SUITE 101
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85255-5483
Country	:	US
Telephone Number	:	480-563-5800
Fax Number	:	480-563-4971

Provider Business Practice Location Address
First Line	:	8575 E PRINCESS DR
Second Line	:	SUITE 101
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85255-5483
Country	:	US
Telephone Number	:	480-563-5800
Fax Number	:	480-563-4971

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

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. CHRISTOPHER J LEWANDOWSKI DDS” Practice Location

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