DR. CHRISTINA LATRICIA LEWIS DDS NPI 1356427942

NPI Information

NPI: 1356427942
Provider Name: DR. CHRISTINA LATRICIA LEWIS, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
24293 TELEGRAPH RD
SUITE 212
SOUTHFIELD, MI
ZIP 48034
Phone: (248) 223-5639
Get Directions

DR. Christina Latricia Lewis, DDS is a general practice dentist in Southfield, MI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Christina Latricia Lewis, DDS NPI is 1356427942. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

24293 TELEGRAPH RD
SUITE 212
SOUTHFIELD, MI
ZIP 48034-011
Phone: (248) 223-5639
Fax: (248) 223-5689

The NPI 1356427942 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 10/27/2006 and was last updated on 3/11/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	5835	OKLAHOMA	No
2	1223G0001X	Dentist	General Practice	55018	CALIFORNIA	No
3	1223G0001X	Dentist	General Practice	4949T	NEVADA	No
4	1223G0001X	Dentist	General Practice	2901017597	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4093385	MEDICAID	MICHIGAN
2	D800438	OTHER	MICHIGAN	BLUE CROSS/BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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