Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFREY SCOTT LEWIS, M.D., D.M.D.
Active Sole ProprietorDR. JEFFREY SCOTT LEWIS, M.D., D.M.D. is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in ITHACA, New York. NPI 1689761025 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · ITHACA, NY
Registration Details
- NPI Number
- 1689761025
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 6, 2006 (19.888848612889 yrs)
- Last Updated
- Dec 14, 2016
- Licenses
-
197617-1 (NY)544761 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
200 EAST BUFFALO STREETSUITE 304ITHACA, NY, 14850Browse NY providers · Browse ZIP 14850
- Phone
- 6072777007
- Fax
- 6072775434
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
- Additional Specialty
- Oral & Maxillofacial Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.