# DEBRA E LEWIS DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013072842
- **Authorized official:** DR. DEBRA E LEWIS DDS (OWNER)
- **Authorized official phone:** (231) 276-6789

## Contact information

- **Practice address:** 2120 M137, INTERLOCHEN, MI 49643
- **Practice address phone:** (231) 276-6789
- **Practice address fax:** (231) 276-7754
- **Mailing address:** PO BOX 459, INTERLOCHEN, MI 49643-0459
- **Mailing address phone:** (231) 276-6789
- **Mailing address fax:** (231) 276-7754

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 14103 | MI | Yes |

## Other

- **Enumeration date:** 12/22/2006
- **Last updated:** 08/22/2020