Jason D Lewis DDS PA
NPI #1043576150 in Jacksonville, Florida
Provider Information
- NPI Number
- 1043576150
- Entity Type
- Organization
- Organization Name
- Jason D Lewis DDS PA
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Customized Equipment
- Enumeration Date
- Apr 3, 2012
- Last Updated
- May 30, 2012
Practice Location
- Address
- 130 GATEWAY CIR
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32259-4003
- Phone
- (904) 201-6000
Authorized Official
- Name
- DR. JASON DEAN LEWIS, DDS
- Title
- OWNER/DENTIST
- Phone
- (904) 201-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
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