Organization
RONALD E LEWIS DMD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD EDWARD LEWIS DMD (PRESIDENT)
(606) 836-4717
Entity
Organization
Contact information
Practice address
909 POWELL LANE, FLATWOODS, KY 41139
(606) 836-4717
Mailing address
PO BOX 981, FLATWOODS, KY 41139
(606) 836-4717
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4012
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60040128
—
KY
Enumeration date
09/11/2006
Last updated
08/22/2020
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