Individual
DR. MARC J LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1091 W MAIN ST, NEWARK, OH 43055-2031
(740) 349-3033
(740) 349-7675
Mailing address
1091 W MAIN ST, NEWARK, OH 43055-2031
(740) 349-3033
(740) 349-7675
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21427
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2373551
—
OH
Enumeration date
08/17/2006
Last updated
07/09/2007
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