Provider Demographics
NPI:1447359823
Name:LEWIS, HOWELL W (DMD)
Entity type:Individual
Prefix:DR
First Name:HOWELL
Middle Name:W
Last Name:LEWIS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10517 OCEAN HWY # 117
Mailing Address - Street 2:
Mailing Address - City:PAWLEYS ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29585-7920
Mailing Address - Country:US
Mailing Address - Phone:520-437-2486
Mailing Address - Fax:
Practice Address - Street 1:10517 OCEAN HWY # 117
Practice Address - Street 2:
Practice Address - City:PAWLEYS ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29585-7920
Practice Address - Country:US
Practice Address - Phone:520-437-2486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC25401223X0400X
SC3121223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1020539640003Medicaid
AZ725468Medicaid
PA1020539640002Medicaid
PA1020539640004Medicaid