MEDICARE: DR. HOWELL W. 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
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	2540	SC
2	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	312	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447359823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOWELL W. LEWIS DMD

Provider Business Mailing Address
First Line	:	10517 OCEAN HWY # 117
Second Line	:
City	:	PAWLEYS ISLAND
State	:	SC
Zip	:	29585-7920
Country	:	US
Telephone Number	:	520-437-2486
Fax Number	:

Provider Business Practice Location Address
First Line	:	10517 OCEAN HWY # 117
Second Line	:
City	:	PAWLEYS ISLAND
State	:	SC
Zip	:	29585-7920
Country	:	US
Telephone Number	:	520-437-2486
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	08/28/2023

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