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Dr. Wendel John Lewis, DMD
General Practice Dentistry in Rexburg, Idaho
NPI 1174649214

Wendel John Lewis is a General Practice Dentistry based in Rexburg, ID and is specialized in General Practice. Wendel John Lewis practices in Rexburg, ID and has the professional credentials of DMD. The NPI Number for Wendel John Lewis is 1174649214 and holds a License No. D1565 (Idaho).

The current practice location address for Wendel John Lewis is 130 W Main St, Rexburg, ID and can be reached out via phone at 208-356-4132 and via fax at 208-356-9340. You can also correspond with Wendel John Lewis through the mailing address at 130 W MAIN ST, REXBURG, ID - 83440-1827 (mailing address contact number: 208-356-4132).

Location: 130 W Main St, Rexburg, ID, 83440-1827
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174649214
Provider Name
Wendel John Lewis
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
130 W Main St, Rexburg, ID, 83440-1827
Phone Number
208-356-4132
Fax Number
208-356-9340
Provider Enumeration Date
03/21/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
130 W Main St
City
Rexburg
State
Idaho
Zip
83440-1827
Phone Number
208-356-4132
Fax Number
208-356-9340
person
Provider Business Mailing Address Details
Address
130 W Main St
City
Rexburg
State
Idaho
Zip
83440-1827
Phone Number
208-356-4132
Fax Number
208-356-9340
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D1565 (Idaho)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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