Healthcare Provider Details

I. General information

NPI: 1952929853
Provider Name (Legal Business Name): CHRISTOPHER L LEWIS DMD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2020
Last Update Date: 07/08/2020
Certification Date: 07/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

159 DUTCH RD
HARMONY PA
16037-9215
US

IV. Provider business mailing address

159 DUTCH RD
HARMONY PA
16037-9215
US

V. Phone/Fax

Practice location:
  • Phone: 412-997-7077
  • Fax: 724-473-0419
Mailing address:
  • Phone: 412-997-7077
  • Fax: 724-473-0419

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0004X
TaxonomyDental Anesthesiology
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier102366889
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name: DR. CHRISTOPHER LEWIS
Title or Position: OWNER
Credential: DMD
Phone: 412-997-7077