# LEWIS DENTAL ASSOCIATES

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

## Provider details

- **NPI number:** 1952405276
- **Authorized official:** MS. OSHERRA D DAVIS DDS (OFFICE MANGER)
- **Authorized official phone:** (214) 637-4604

## Contact information

- **Practice address:** 3524 N HAMPTOM RD, LEWIS DENTAL ASSOCIATES, DALLAS, TX 75212
- **Practice address phone:** (214) 637-4604
- **Practice address fax:** (214) 630-9258
- **Mailing address:** 3524 N HAMPTON RD, DALLAS, TX 75212
- **Mailing address phone:** (214) 637-4604
- **Mailing address fax:** (214) 630-9258

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/08/2006
- **Last updated:** 07/29/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 9742001 | — | TX |