Lewis Dental Group, PLLC
Organization Active NPI General Practice Dentistry · Brownsville, TN
NPI 1013233121 · NPPES record last updated Apr 14, 2010
Key facts
- NPI
- 1013233121
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 8692 (TN)
- Legal business name
- LEWIS DENTAL GROUP, PLLC
- Practice address
- 20 N Washington Ave
Brownsville, TN 38012-2555 - Phone
- (731) 779-0889
- NPI assigned
- Apr 14, 2010
- Organization subpart
- No
Authorized official
- Name
- Peete Duane Lewis
- Title
- Owner
- Phone
- (615) 828-6811
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 8692 | TN | Yes |
Addresses
Primary practice location
20 N Washington Ave
Brownsville, TN 38012-2555
Mailing address
1299 Bridgeton Park Dr
Brentwood, TN 37027-8341
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1505474 | Medicaid | TN |
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All providers in Brownsville, TN · General Practice Dentistry in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.