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Individual
DR. LEWIS JOHN DILLARD
Active
Individual
DR. LEWIS JOHN DILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS042192
PA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN123372
GA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS042192
PA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DN123372
GA
Other
Enumeration date
06/14/2019
Last updated
11/21/2025
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