Provider Demographics
NPI:1205015013
Name:HOLTZMAN, LEWIS H (DDS)
Entity Type:Individual
Prefix:DR
First Name:LEWIS
Middle Name:H
Last Name:HOLTZMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 W. CRYSTAL LAKE AVE.
Mailing Address - Street 2:
Mailing Address - City:HADDONFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08033-3296
Mailing Address - Country:US
Mailing Address - Phone:856-858-4835
Mailing Address - Fax:856-858-1523
Practice Address - Street 1:311 W. CRYSTAL LAKE AVE.
Practice Address - Street 2:
Practice Address - City:HADDONFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08033-3296
Practice Address - Country:US
Practice Address - Phone:856-858-4835
Practice Address - Fax:856-858-1523
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-29
Last Update Date:2024-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice