# KEVIN E. LEW, DDS, MD, PLLC

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

## Provider details

- **NPI number:** 1629703509
- **Authorized official:** DR. KEVIN EDWARD LEW DDS, MD (PRESIDENT)
- **Authorized official phone:** (213) 864-7670

## Contact information

- **Practice address:** 6701 RIALTO BLVD APT 2202, AUSTIN, TX 78735-8597
- **Practice address phone:** (512) 828-3128
- **Mailing address:** 6705 W HIGHWAY 290 STE 502-273, AUSTIN, TX 78735-8400
- **Mailing address phone:** (213) 864-7670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 07/23/2022
- **Last updated:** 03/07/2023