Dr. Jack William Lewis, DDS
Dentist, General Practice in Garland, TX. Individual provider (NPI-1).
NPI number1790780641
StatusActive
Last updated in NPPESJul 6, 2022
Details
- NPI
- 1790780641
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jack William Lewis
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2005
- Certification date
- Jul 6, 2022
- Last updated
- Jul 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 16437 | TX | Yes |
Practice location
7506 Cottonwood CtGarland, TX 75044-2006
Phone 214-642-9460
Mailing address
7506 Cottonwood CtGarland, TX 75044-2006
Phone 214-642-9460
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