# LEWIS, DINE AND ASSOCIATES, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kenneth B. Lewis, DDS, P.A., Lewis Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336317692
- **Authorized official:** DR. KENNETH BOYD LEWIS DDS (DENTIST)
- **Authorized official phone:** (910) 488-0518

## Contact information

- **Practice address:** 4140 RAMSEY ST STE 104, FAYETTEVILLE, NC 28311-7658
- **Practice address phone:** (910) 488-0518
- **Practice address fax:** (910) 630-2432
- **Mailing address:** 4140 RAMSEY ST, SUITE 104, FAYETTEVILLE, NC 28311-7672
- **Mailing address phone:** (910) 488-0518
- **Mailing address fax:** (910) 630-2432

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5029 | NC | — |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/20/2008
- **Last updated:** 07/19/2022