Individual
DR. JUSTIN PRESCOTT LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
351 W 6TH STREET, FORT STEWART, GA 31314
(912) 435-9185
Mailing address
351 W 6TH STREET, FORT STEWART, GA 31314
(912) 435-9185
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8546
KY
1223G0001X
General Practice Dentistry
Primary
8546
KY
Other
Enumeration date
07/30/2007
Last updated
10/11/2018
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