# HEWLETT FAMILY DENTAL

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

## Provider details

- **NPI number:** 1487479887
- **Authorized official:** DR. MARK EDWARD HEWLETT DMD (DENTIST)
- **Authorized official phone:** (502) 633-2229

## Contact information

- **Practice address:** 223 THE POINTE BLVD, SHELBYVILLE, KY 40065-7852
- **Practice address phone:** (502) 487-0293
- **Practice address fax:** (502) 633-7518
- **Mailing address:** 223 THE POINTE BLVD, SHELBYVILLE, KY 40065-7852
- **Mailing address phone:** (502) 487-0293
- **Mailing address fax:** (502) 633-7518

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 11/20/2024
- **Last updated:** 04/16/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 16296212677 | STEPHEN T. HEWLETT | — |
| 01 | — | 1952082927 | NATALIE BOBAY | — |
