# RONALD E LEWIS DMD PSC

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

## Provider details

- **NPI number:** 1487758553
- **Authorized official:** RONALD EDWARD LEWIS DMD (PRESIDENT)
- **Authorized official phone:** (606) 836-4717

## Contact information

- **Practice address:** 909 POWELL LANE, FLATWOODS, KY 41139
- **Practice address phone:** (606) 836-4717
- **Mailing address:** PO BOX 981, FLATWOODS, KY 41139
- **Mailing address phone:** (606) 836-4717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4012 | KY | Yes |

## Other

- **Enumeration date:** 09/11/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 60040128 | — | KY |