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Dr. Eric Street Lewis, DMD
Oral and Maxillofacial Surgery (Dentist) in Mccomb, Mississippi
NPI 1396920252

Eric Street Lewis is a Oral and Maxillofacial Surgery (Dentist) based in Mccomb, MS and is specialized in Oral and Maxillofacial Surgery. Eric Street Lewis practices in Mccomb, MS and has the professional credentials of DMD. The NPI Number for Eric Street Lewis is 1396920252 and holds a License No. 2494-89 (Mississippi).

The current practice location address for Eric Street Lewis is 212 Rawls Dr, Mccomb, MS and can be reached out via phone at 601-249-0045 and via fax at 601-249-0105.

Location: 212 Rawls Dr, Mccomb, MS, 39648-2870
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396920252
Provider Name
Eric Street Lewis
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
212 Rawls Dr, Mccomb, MS, 39648-2870
Phone Number
601-249-0045
Fax Number
601-249-0105
Provider Enumeration Date
01/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00660038 05 MS
institution
Provider Business Practice Location Address Details
Address
212 Rawls Dr
City
Mccomb
State
Mississippi
Zip
39648-2870
Phone Number
601-249-0045
Fax Number
601-249-0105
person
Provider Business Mailing Address Details
Address
212 Rawls Dr
City
Mccomb
State
Mississippi
Zip
39648-2870
Phone Number
601-249-0045
Fax Number
601-249-0105
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
2494-89 (Mississippi)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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