# LEWIS & HAWN EXCELLENCE IN DENTISTRY PLLC

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

## Provider details

- **NPI number:** 1548434459
- **Authorized official:** MARK W HAWN DDS (PRESIDENT)
- **Authorized official phone:** (208) 265-4558

## Contact information

- **Practice address:** 2025 PINE ST, SANDPOINT, ID 83864-9327
- **Practice address phone:** (208) 265-4558
- **Mailing address:** 2025 PINE ST, SANDPOINT, ID 83864-9327
- **Mailing address phone:** (208) 265-4558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 332BC3200X | Customized Equipment (DME) | — | — | — |

## Other

- **Enumeration date:** 04/22/2008
- **Last updated:** 09/05/2023
