Lewis, Timothy

Lewis, Timothy is an sole proprietor health care provider with primary practice located at 205 W New Haven Ave , Melbourne FL 32901-4300. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lewis, Timothy can be contacted via phone (321) 723-1772.

Contact Information

Primary practice address
205 W New Haven Ave Melbourne FL 32901-4300
Fax: (321) 723-2886
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN-0009267 Florida

Profile Details

NPI number 1164819140
LBN Legal business name Lewis, Timothy
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2015
Last updated Apr 17th, 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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