| Lewis Pediatric Dentistry Pllc | |
|
365 Aviation Rd Queensbury NY 12804-2915 | |
| (610) 420-4948 | |
| Not Available |
| Full Name | Lewis Pediatric Dentistry Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 365 Aviation Rd, Queensbury, New York |
| Authorized Official Name and Position | James Lewis (MEMBER) |
| Authorized Official Contact | 6104204948 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewis Pediatric Dentistry Pllc 8 Erinn Ct Wilton NY 12831-2520 Ph: (610) 420-4948 | Lewis Pediatric Dentistry Pllc 365 Aviation Rd Queensbury NY 12804-2915 Ph: (610) 420-4948 |
| NPI Number | 1902445190 |
|---|---|
| Provider Enumeration Date | 01/06/2020 |
| Last Update Date | 01/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902445190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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