Individual
MARY HOPE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
328 N GREAT NECK RD STE 105, VIRGINIA BEACH, VA 23454-4060
(757) 631-9200
(757) 486-9040
Mailing address
328 N GREAT NECK RD STE 105, VIRGINIA BEACH, VA 23454-4060
(757) 631-9200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
07456
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
909306
UNITED CONCORDIA
VA
01
—
ANTHEM
384430
VA
Enumeration date
10/25/2006
Last updated
02/18/2022
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