Healthcare Provider Details

I. General information

NPI: 1336055037
Provider Name (Legal Business Name): MCKAY A LEWIS DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

946 E DRAPER PKWY
DRAPER UT
84020-9778
US

IV. Provider business mailing address

946 E DRAPER PKWY
DRAPER UT
84020-9778
US

V. Phone/Fax

Practice location:
  • Phone: 801-552-2521
  • Fax:
Mailing address:
  • Phone: 801-553-2521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. MCKAY ARTHUR LEWIS
Title or Position: DENTIST
Credential: DDS
Phone: 808-375-6734