Individual
DR. TRUMAN WAYNE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
611 W MAIN ST, JACKSON, MO 63755-1742
(573) 243-5252
(573) 243-5083
Mailing address
611 W MAIN ST, JACKSON, MO 63755-1742
(573) 243-5252
(573) 243-5083
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10613
MO
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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