Individual
WILLIAM J LEWIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
405 N MAIN, SYRACUSE, KS 67878
(620) 384-5252
(620) 384-5301
Mailing address
PO BOX 828, SYRACUSE, KS 67878
(620) 384-5252
(620) 384-5301
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5567
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8315
BCBS
KS
Enumeration date
12/22/2005
Last updated
07/08/2007
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