| Lewis Dental Group, Pllc | |
|
20 N Washington Ave Brownsville TN 38012-2555 | |
| (731) 779-0889 | |
| Not Available |
| Full Name | Lewis Dental Group, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 20 N Washington Ave, Brownsville, Tennessee |
| Authorized Official Name and Position | Peete Duane Lewis (OWNER) |
| Authorized Official Contact | 6158286811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewis Dental Group, Pllc 1299 Bridgeton Park Dr Brentwood TN 37027-8341 Ph: () - | Lewis Dental Group, Pllc 20 N Washington Ave Brownsville TN 38012-2555 Ph: (731) 779-0889 |
| NPI Number | 1013233121 |
|---|---|
| Provider Enumeration Date | 04/14/2010 |
| Last Update Date | 04/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013233121 | NPI | - | NPPES |
| 1505474 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8692 (Tennessee) | Primary |
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