Individual
DR. JASON DEAN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
130 GATEWAY CIR, JACKSONVILLE, FL 32259-4003
(904) 201-6000
Mailing address
130 GATEWAY CIR, JACKSONVILLE, FL 32259-4003
(904) 201-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16561
FL
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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