Holly Lewis in Mechanicsville - Pediatric Dentistry

Holly Lewis - NPI 1073548947

Holly Lewis is a Pediatric Dentistry in Mechanicsville, Virginia. Holly Lewis practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Holly Lewis is 1073548947. The last update date is 2021-09-23.

Holly Lewis's current location address is 8203 Center Path Ln, Mechanicsville, Virginia. You can contact this provider via phone number 8047467382 and fax number 8047463025. The mailing address for Holly Lewis is 8203 Center Path Ln, Mechanicsville, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Holly Lewis
Address 8203 Center Path Ln, Mechanicsville, Virginia
Phone Number 8047467382
Fax Number 8047463025
Sole Proprietor N
Credentials DMD, MS

NPI Number Detail

NPI Number 1073548947
Provider Enumeration Date 2006-07-11
Last Updated Date 2021-09-23

Provider Mailing Address Detail

Address 8203 Center Path Ln
City Mechanicsville
State Virginia (VA)
Post Code 231164060
Phone Number 8047467382
Fax Number 8047463025

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 401411085
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1777225 VA UNITED CONCORDIA INS.
184570 VA ANTHEM BC/BS
9179294 VA --

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FAQs about Holly Lewis

What is the unique 10-digit identifier code assigned to Holly Lewis by the Centers for Medicare & Medicaid Services?

The Holly Lewis has been issued the NPI (National Provider Identifier) 1073548947 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Holly Lewis?

The Holly Lewis is situated at 8203 Center Path Ln, in the city of Mechanicsville, state of VA, with the zip code 231164060.

What is Holly Lewis's specialized field of practice, and what is the corresponding taxonomy classification code?

The Holly Lewis's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.

On what date did the Centers for Medicare & Medicaid Services assign the 1073548947 to Holly Lewis?

The Centers for Medicare & Medicaid Services assigned the 1073548947 to Holly Lewis on 2006-07-11.

As of what date were the Holly Lewis's details last updated?

The information pertaining to the Holly Lewis, including its address, specialty, and other details, was most recently updated on 2021-09-23.

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