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NPI Code Detail

MEDICARE: DR. HENRY ARTHUR LEWIS DMD

MEDICARE:  DR. HENRY ARTHUR LEWIS  DMD
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
11223G0001XGeneral Practice Dentistry7173NV

General Provider Information

NPI Number : 1124511787
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HENRY ARTHUR LEWIS DMD
Provider Business Mailing Address
First Line : PO BOX 520
Second Line :
City : MOAPA
State : NV
Zip : 89025-0520
Country : US
Telephone Number : 702-649-6859
Fax Number :
Provider Business Practice Location Address
First Line : 4890 E BONANZA RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89110-3458
Country : US
Telephone Number : 702-649-6859
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2018
Last Update Date : 06/26/2019

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Directions to “ DR. HENRY ARTHUR LEWIS DMD” Practice Location

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