Jane Wellesley Lewis, D.M.D

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN013952 Issued in GA

Practice address

407 E Maple St Ste 109
Cumming, GA 30040-2616

Phone

(770) 343-4389

NPI assigned

Aug 11, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jane Wellesley Gleim Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1679705537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 RIDGE HAVEN RUN",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300224485",
            "telephone_number": "678-644-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E MAPLE ST STE 109",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402616",
            "telephone_number": "770-343-4389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2230 Towne Lake Parkway",
            "address_2": "Building 1300. Ste 100",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "30189",
            "country_code": "US",
            "telephone_number": "404-389-1950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JANE",
        "middle_name": "WELLESLEY",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN013952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "GLEIM",
            "middle_name": "WELLESLEY",
            "prefix": "DR.",
            "credential": "D.M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Derek Leung, RPH
• Elijah Michael Levesque
• Mathew Levine, D.O.
• Antionette Lewis, RBT
• Clay Lewis, PHARMD
• Kylie Lane Lewis, D.D.S.
• Betty Li, MD
• Life Wisdom Counseling LLC
• Lifecare Christian Counseling Inc
• Douglas Lightstone, D.C.

• Pediatric Dentistry in Cumming, GA
• Providers in Cumming, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.