Organization
W. LEE LEWIS, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN BASS (PRACTICE ADMINISTRATOR)
(252) 752-6188
Entity
Organization
Contact information
Practice address
515 W 15TH ST, WASHINGTON, NC 27889-3565
(252) 975-3709
Mailing address
515 W 15TH ST, WASHINGTON, NC 27889-3565
(252) 975-3709
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6529
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89902AJ
—
NC
Enumeration date
07/23/2013
Last updated
02/11/2021
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