Lewis, Walter Glenn
Lewis, Walter Glenn is an sole proprietor health care provider with primary practice located at 2526 Shallowford Rd Suite A, Marietta GA 30066-3053. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Lewis, Walter Glenn can be contacted via phone (770) 924-7826.Contact Information
Primary practice address
2526 Shallowford Rd Suite A
Marietta GA 30066-3053
Phone: (770) 924-7826
Fax: (770) 924-2822
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DN009753 | Georgia |
Profile Details
| NPI number | 1780848788 |
|---|---|
| LBN Legal business name | Lewis, Walter Glenn |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2008 |
| Last updated | Jul 18th, 2008 - about 17 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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