Marlys Peterson Lewis
Dental Hygienist
22 Plaza Rd
Flanders
, New Jersey 07836-9416
Marlys Peterson Lewis
Dental Hygienist
22 Plaza Rd
Flanders
, New Jersey 07836-9416
(973) 543-1918
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Marlys Peterson Lewis
- 77 Ironia Rd
- Mendham, NJ
- Zip : 07945-3141
- Fax : (973) 543-1918
- Phone : (973) 543-6287
Second Address
- Marlys Peterson Lewis
- 22 Plaza Rd
- Flanders, NJ
- Zip : 07836-9416
- Phone : (973) 252-1099
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 22HI00149500 | NJ |
National Provider Identifier
| NPI | 1043423767 |
|---|---|
| Provider Name | Marlys Peterson Lewis |
| First Address | Mendham, NJ 07945-3141 |
| Second Address | Flanders, NJ 07836-9416 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/05/2007 |
| Last Update Date | 08/07/2007 |
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.