Dr. Holly Lewis
Pediatric Dentist
11934 W Broad St Ste 120
Henrico
, Virginia 23233-1100
Dr. Holly Lewis
Pediatric Dentist
11934 W Broad St Ste 120
Henrico
, Virginia 23233-1100
(804) 746-3025
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Holly Lewis
- 8203 Center Path Ln Suite A
- Mechanicsville, VA
- Zip : 23116-4060
- Fax : (804) 746-3025
- Phone : (804) 746-7382
Second Address
- Dr. Holly Lewis
- 11934 W Broad St Ste 120
- Henrico, VA
- Zip : 23233-1100
- Fax : (804) 746-3025
- Phone : (804) 746-7382
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 0401411085 | VA |
National Provider Identifier
| NPI | 1073548947 |
|---|---|
| Provider Name | Dr. Holly Lewis |
| First Address | Mechanicsville, VA 23116-4060 |
| Second Address | Henrico, VA 23233-1100 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/07/2006 |
| Last Update Date | 23/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1777225 | UNITED CONCORDIA INS. (01) | VA |
| 184570 | ANTHEM BC/BS (01) | VA |
| 9179294 | (05) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.