Lewis, Jonathan Elliott
Lewis, Jonathan Elliott is an individual health care provider with primary practice located at 20408 Rockaway Point Blvd , Breezy Point NY 11697-1115. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Lewis, Jonathan Elliott can be contacted via phone (718) 474-6500.Contact Information
Primary practice address
20408 Rockaway Point Blvd
Breezy Point NY 11697-1115
Phone: (718) 474-6500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DS043203 | Pennsylvania |
| Dental Providers / Dentist | 122300000X | 063288 | New York |
Profile Details
| NPI number | 1023687472 |
|---|---|
| LBN Legal business name | Lewis, Jonathan Elliott |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2021 |
| Last updated | Sep 30th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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