Organization
JASPER L. LEWIS, JR., D.D.S., P.A.
Active
Organization
JASPER L. LEWIS, JR., D.D.S., P.A.
Active
Other names
Eastern Orthodontics & Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JASPER LEE LEWIS JR. D.D.S. (PRESIDENT)
(252) 752-6188
Entity
Organization
Contact information
Practice address
1025 JOHNS HOPKINS DR, GREENVILLE, NC 27834-7227
(252) 752-6188
(252) 752-5728
Mailing address
1025 JOHNS HOPKINS DR, GREENVILLE, NC 27834-7227
(252) 752-6188
(252) 752-5728
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
NC
1223P0221X
Pediatric Dentistry
—
NC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89013GF
—
NC
Enumeration date
02/20/2007
Last updated
09/11/2025
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