# LEWIS A. WILK, DMD, PC

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

## Provider details

- **NPI number:** 1417080797
- **Authorized official:** DR. LEWIS A. WILK D.M.D. (OWNER)
- **Authorized official phone:** (570) 421-3512

## Contact information

- **Practice address:** 1101 N FIFTH ST, STROUDSBURG, PA 18360
- **Practice address phone:** (570) 421-3512
- **Practice address fax:** (570) 420-8134
- **Mailing address:** 1101 N FIFTH ST, STROUDSBURG, PA 18360
- **Mailing address phone:** (570) 421-3512
- **Mailing address fax:** (570) 420-8134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 018990-L | PA | Yes |

## Other

- **Enumeration date:** 03/14/2007
- **Last updated:** 08/05/2010