# GARRY L. LEWIS DDS INC.

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

## Provider details

- **NPI number:** 1386665800
- **Authorized official:** DR. GARRY L. LEWIS DDS (PRESIDENT)
- **Authorized official phone:** (304) 845-5651

## Contact information

- **Practice address:** 807 5TH ST, MOUNDSVILLE, WV 26041-1907
- **Practice address phone:** (304) 845-5651
- **Practice address fax:** (304) 845-5707
- **Mailing address:** 807 5TH ST, MOUNDSVILLE, WV 26041-1907
- **Mailing address phone:** (304) 845-5651
- **Mailing address fax:** (304) 845-5707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2368 | WV | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 08/22/2020