Individual
DR. SCOTT MICHAEL LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
488 W HOSPITAL RD, PAOLI, IN 47454-8807
(812) 723-3959
Mailing address
4600 BEAVER RD, LOUISVILLE, KY 40207-3515
(502) 387-2836
(502) 893-9273
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010908A
IN
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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