Provider Demographics
NPI:1215012349
Name:LEWIS, DEBBIE MARIE (DMD)
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:MARIE
Last Name:LEWIS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 PENN AVE
Mailing Address - Street 2:SUITE A1
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221
Mailing Address - Country:US
Mailing Address - Phone:412-247-0191
Mailing Address - Fax:412-247-0309
Practice Address - Street 1:224 PENN AVE
Practice Address - Street 2:SUITE A1
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221
Practice Address - Country:US
Practice Address - Phone:412-247-0191
Practice Address - Fax:412-247-0309
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS026910L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist