Individual
DOUGLAS SCOTT LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1018 17TH ST S, BIRMINGHAM, AL 35205-3614
(205) 933-2460
(205) 933-2464
Mailing address
1018 17TH ST S, BIRMINGHAM, AL 35205-3614
(205) 933-2460
(205) 933-2464
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4717
AL
Other
Enumeration date
04/08/2007
Last updated
07/08/2007
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