Individual provider · Type 1 NPI
Eric Street Lewis, DMD
Oral and Maxillofacial Surgery (Dentist) · Mccomb, MS
NPI number
1396920252
Active
Practice location
212 Rawls Dr
Mccomb, MS 39648-2870
Fax (601) 249-0105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 2494-89 (MS) |
Oral and Maxillofacial Surgery (Dentist): 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.
About NPI 1396920252
Eric Street Lewis, DMD's National Provider Identifier is 1396920252, issued on Jan 9, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Mccomb, MS. The record was last updated on Jan 9, 2008.