Virginia Jenkins Lewis, DMD

Individual provider Active NPI General Practice Dentistry · Springfield, KY

NPI 1457511024 · NPPES record last updated Sep 5, 2012

Key facts

NPI
1457511024
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
8617 (KY)
Practice address
39 Bobolink Dr
Springfield, KY 40069-1516
Phone
(859) 336-7680
NPI assigned
Jun 16, 2008
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
8617KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Smiles Dentistry and Orthodontics Current
since Jul 31, 2023
Accepting new patients

Locations

303 W Walnut St
Lebanon, KY 40033
Phone (270) 321-4060

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8617 KY Yes

Addresses

Primary practice location

39 Bobolink Dr
Springfield, KY 40069-1516

Mailing address

5513 Merribrook LN
Prospect, KY 40059-7624
Phone (859) 351-1380

Other providers in Springfield, KY

All providers in Springfield, KY · General Practice Dentistry in Kentucky

Sources for this page

Verify at the official NPI Registry.