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NPI 1275678112

NPI 1275678112 : WILLIAM LEE LEWIS D.D.S. : GREENVILLE, NC

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General NPI Number Information
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    NPI Number           |    1275678112
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    Entity Type          |    Individual 
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    Provider Name        |    WILLIAM LEE LEWIS D.D.S.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/20/2007
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    1025 JOHNS HOPKINS DR 
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    City                 |    GREENVILLE
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    State                |    NC
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    Zip                  |    27834-7227
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    Country              |    US
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    Telephone            |    252-752-6188
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    Fax                  |    252-752-5728
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Provider Business Mailing Address
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    Address Line         |    1025 JOHNS HOPKINS DR 
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    City                 |    GREENVILLE
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    State                |    NC
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    Zip                  |    27834-7227
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    Country              |    US
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    Telephone            |    252-752-6188
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    Fax                  |    252-752-5728
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223P0221X
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    Taxonomy Name        |    Pediatric Dentistry
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    License Number       |    6529
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    1223X0400X
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    Taxonomy Name        |    Orthodontics and Dentofacial Orthopedics Dentistry
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    License Number       |    6529
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    License Number State |    NC
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