Provider Demographics
NPI:1538702816
Name:LEWIS, SONYA DEE (DMD)
Entity Type:Individual
Prefix:DR
First Name:SONYA
Middle Name:DEE
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 1:6688 NOLENSVILLE RD # 108-120
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-8833
Mailing Address - Country:US
Mailing Address - Phone:615-663-4403
Mailing Address - Fax:
Practice Address - Street 1:6688 NOLENSVILLE RD # 108-120
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-8833
Practice Address - Country:US
Practice Address - Phone:615-663-4403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-19
Last Update Date:2024-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN12602122300000X
KS62027122300000X
TN12281122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist