DR. Timothy Lewis, D.M.D

NPI #1164819140 in Melbourne, Florida

Provider Information

NPI Number: 1164819140
Entity Type: Individual
Name: DR. Timothy Lewis, D.M.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D
Enumeration Date: Apr 17, 2015
Last Updated: Apr 17, 2015

Practice Location

Address: 205 W NEW HAVEN AVE
City: Melbourne
State: Florida
ZIP Code: 32901-4300
Phone: (321) 723-1772

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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