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General NPI Number Information
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NPI Number | 1538331004
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Entity Type | Organization
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Legal Business Name | WILLIAM H. LEWIS, JR. DDS PA
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Dates
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Enumeration Date | 03/25/2008
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Last Update Date | 03/25/2008
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Provider Practice Location Address
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Address Line | 201 N DALTON ST
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City | MADISON
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State | NC
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Zip | 27025-1903
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Country | US
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Telephone | 336-548-9678
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Fax | 336-548-4528
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Provider Business Mailing Address
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Address Line | 201 N DALTON ST PO BOX 330
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City | MADISON
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State | NC
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Zip | 27025-1903
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Country | US
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Telephone | 336-548-9678
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Fax | 336-548-4528
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM HERBERT LEWIS JR.
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Credential | DDS
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Telephone | 336-548-9678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 2878
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License Number State | NC
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