Dillard, Lewis John

Dillard, Lewis John is an sole proprietor health care provider with primary practice located at 3401 N Broad St , Philadelphia PA 19140-5189. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Dillard, Lewis John can be contacted via phone (215) 707-2000.

Contact Information

Primary practice address
3401 N Broad St Philadelphia PA 19140-5189
Phone: (215) 707-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DS042192 Pennsylvania
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DS042192 Pennsylvania
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X DN123372 Georgia
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN123372 Georgia

Profile Details

NPI number 1124688841
LBN Legal business name Dillard, Lewis John
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2019
Last updated Apr 22nd, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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