Organization
HOMETOWN SMILES DENTISTRY AND ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA LEWIS DMD (OWNER)
(270) 321-4060
Entity
Organization
Contact information
Practice address
303 W WALNUT ST, LEBANON, KY 40033-1344
(270) 321-4060
(270) 321-4115
Mailing address
303 W WALNUT ST, LEBANON, KY 40033-1344
(270) 321-4060
(270) 321-4115
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
08/22/2023
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