Kenneth Dwayne Lewis in Odessa - General Practice
Kenneth Dwayne Lewis - NPI 1871505529
Kenneth Dwayne Lewis is a General Practice in Odessa, Texas. Kenneth Dwayne Lewis practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kenneth Dwayne Lewis is 1871505529. The last update date is 2007-07-08.
Kenneth Dwayne Lewis's current location address is 1149 E 42nd St, Odessa, Texas. You can contact this provider via phone number 4323627927 and fax number 4323627928. The mailing address for Kenneth Dwayne Lewis is 1149 E 42nd St, Odessa, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Dwayne Lewis |
|---|---|
| Address | 1149 E 42nd St, Odessa, Texas |
| Phone Number | 4323627927 |
| Fax Number | 4323627928 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1871505529 |
|---|---|
| Provider Enumeration Date | 2006-08-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1149 E 42nd St |
|---|---|
| City | Odessa |
| State | Texas (TX) |
| Post Code | 797627723 |
| Phone Number | 4323627927 |
| Fax Number | 4323627928 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 15924 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D15924 | TX | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kenneth Dwayne Lewis by the Centers for Medicare & Medicaid Services?
The Kenneth Dwayne Lewis has been issued the NPI (National Provider Identifier) 1871505529 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Kenneth Dwayne Lewis is physically located?
The Kenneth Dwayne Lewis is physically situated at the following address: 1149 E 42Nd St, Odessa, TX, 797627723.
What is Kenneth Dwayne Lewis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kenneth Dwayne Lewis's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
When was the Kenneth Dwayne Lewis's 1871505529 issued?
The Kenneth Dwayne Lewis's 1871505529 was issued on 2006-08-12.
When was the information related to Kenneth Dwayne Lewis most recently updated or refreshed?
The details pertaining to the Kenneth Dwayne Lewis, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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