DR. Jay V Lewis, D.D.S.

NPI #1659415081 in Logansport, Indiana

Provider Information

NPI Number: 1659415081
Entity Type: Individual
Name: DR. Jay V Lewis, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Feb 18, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2401 E BROADWAY
City: Logansport
State: Indiana
ZIP Code: 46947-2056
Phone: (574) 722-3107

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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