NPI 1104847136

Lewis Family Dentistry, LLC

Organisation Dentist Canton, GA

Practice location

Address: 7768 Cumming Hwy Suite 100, Canton, GA 30114-9314
Phone: (678) 493-2204
Fax: (678) 493-2275

Authorised official

Name: Elizabeth T Lewis
Title: Owner
Phone: (678) 493-2204

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 11977 (GA)

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Registry record

NPI: 1104847136
Entity type: Organization
NPI issued: 23 Jul 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.