Individual
DR. RODNEY PAUL LEWIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
1001 BUCKINGHAM RD, SUITE 200, RICHARDSON, TX 75081-5850
(972) 907-9900
(972) 907-9925
Mailing address
1001 BUCKINGHAM RD, SUITE 200, RICHARDSON, TX 75081-5850
(972) 907-9900
(972) 907-9925
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
19681
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157853601
—
TX
01
—
37-1462139
TAX ID
TX
Enumeration date
01/12/2006
Last updated
07/08/2007
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