Lewis, Kenneth Boyd

Lewis, Kenneth Boyd is an individual health care provider with primary practice located at 4140 Ramsey St Ste 104 , Fayetteville NC 28311-7658. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lewis, Kenneth Boyd can be contacted via phone (910) 488-0518.

Contact Information

Primary practice address
4140 Ramsey St Ste 104 Fayetteville NC 28311-7658
Phone: (910) 488-0518
Fax: (910) 630-2432
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5029 North Carolina

Profile Details

NPI number 1023097870
LBN Legal business name Lewis, Kenneth Boyd
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Jul 19th, 2022 - about 2 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023097870 NPPES
North Carolina MEDICAID 8995255
North Carolina Other 95255
North Carolina Other 507178

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