Organization
SHAD J. LEWIS, DMD MA LLC
Active
Other names
Shad J. Lewis DMD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAD JOHN LEWIS DMD (OWNER/DENTIST)
(610) 678-5700
Entity
Organization
Contact information
Practice address
2211 QUARRY DR, READING, PA 19609-1161
(610) 678-5700
Mailing address
2211 QUARRY DR, READING, PA 19609-1161
(610) 678-5700
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019646560003
—
PA
Enumeration date
06/23/2020
Last updated
06/23/2020
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