Organization
RODNEY P LEWIS DDS MS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY LEWIS (OWNER)
(972) 907-9900
Entity
Organization
Contact information
Practice address
100 N CENTRAL EXPY STE 1107, RICHARDSON, TX 75080-5542
(972) 907-9900
Mailing address
100 N CENTRAL EXPY STE 1107, RICHARDSON, TX 75080-5542
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174502736
NPPES
TX
Enumeration date
12/19/2019
Last updated
12/19/2019
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