Lewis, Russell G.

Lewis, Russell G. is an sole proprietor health care provider with primary practice located at 1434 E. 9400 S. Ste 201 , Sandy UT 84093. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Lewis, Russell G. can be contacted via phone (801) 572-0942.

Contact Information

Primary practice address
1434 E. 9400 S. Ste 201 Sandy UT 84093
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 294428-9922 Utah

Profile Details

NPI number 1700279197
LBN Legal business name Lewis, Russell G.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 10th, 2015
Last updated Mar 10th, 2015 - about 11 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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