Provider Demographics
NPI:1629202338
Name:LEWIS, CHRISTOPHER LEE (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:LEE
Last Name:LEWIS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159 DUTCH RD
Mailing Address - Street 2:
Mailing Address - City:HARMONY
Mailing Address - State:PA
Mailing Address - Zip Code:16037-9215
Mailing Address - Country:US
Mailing Address - Phone:724-473-0418
Mailing Address - Fax:724-473-0419
Practice Address - Street 1:159 DUTCH RD
Practice Address - Street 2:
Practice Address - City:HARMONY
Practice Address - State:PA
Practice Address - Zip Code:16037-9215
Practice Address - Country:US
Practice Address - Phone:724-473-0418
Practice Address - Fax:724-473-0419
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-08
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS037201122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist