NPI 1003858754

Ben Lewis, D.D.S., P.A.

Organisation Dentist Jacksonville, FL

Practice location

Address: 425 N Lee St, Jacksonville, FL 32204-1127
Phone: (904) 366-3736
Mailing address: 11550 Hidden Harbor Way, Jacksonville, FL 32223-1368

Authorised official

Name: Ben Lewis
Title: President
Phone: (904) 268-1314

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DS (FL)

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Registry record

NPI: 1003858754
Entity type: Organization
NPI issued: 10 Jun 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.