DR. SCOTT JAMES LEWIS (NPI# 1609905736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609905736 |
| Entity Type | Individual |
| Full Name | DR. SCOTT JAMES LEWIS |
| Credential | D.D.S. |
| Practice Address |
5800 Bayshore Dr. Suite B248 Glendale WI 53217-4536 |
| Mailing Address |
5800 Bayshore Dr. Suite B248 Milwaukee WI 53217-4536 |
| Practice Telephone | 4149627110 |
| Practice Fax Number | 4149627135 |
| Mailing Telephone | 4149627110 |
| Mailing Fax Number | 4149627135 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2718 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164801619 | Scott Lewis | Dentist | 3409 W 12600 S Ste 100, Riverton, UT 84065-7266 | 2015-05-29 |
| 1033433289 | Scott Lewis | Physical Therapist | 701 18th Ave Nw, Suite 200, Austin, MN 55912-1850 | 2010-03-17 |
| 1801085576 | Scott Robert Lewis | Optometrist | 19610 Se 1st St, Camas, WA 98607-7472 | 2007-10-18 |
| 1376640664 | Scott A Lewis | Optometrist | 24400 Jackson Ave, Suite A, Murrieta, CA 92562 | 2006-09-20 |
| 1326143553 | Scott Mitchell Lewis | Psychiatry & Neurology | 1 Veterans Dr # 11b, Minneapolis, MN 55417-2309 | 2006-09-13 |
| 1790793875 | Scott Richard Lewis | Dentist | 300 N 2nd E, Rexburg, ID 83440-1604 | 2006-08-04 |
| 1265479281 | Scott Wayne Lewis | Optometrist | 204 Bradford Ln, Waterloo, IL 62298-3267 | 2006-05-31 |
| 1255324299 | Scott Ryan Lewis | Optometrist | 2051 S Cole Rd, Boise, ID 83709-2815 | 2005-08-24 |
| 1821569963 | Scott Avery Lewis | Counselor | 1905 Continental Pl, Mount Vernon, WA 98273-5633 | 2018-12-16 |
| 1124516745 | Scott Marshall Lewis | Student in an Organized Health Care Education/Training Program | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2018-04-30 |
| Street Address |
5800 BAYSHORE DR. SUITE B248 |
| City | GLENDALE |
| State | WI |
| Zip Code | 53217-4536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
| 1174017339 | North Lakes Nursing Home Health Care Agency LLC | Home Health | 225 E Fairmount Ave, Milwaukee, WI 53217 | 2018-06-20 |
| 1083140289 | Miriah Ann King, Ms, Lpc | Counselor | 7805 North Boyd Way, Fox Point, WI 53217 | 2017-05-08 |
| 1245783067 | Lakesha L Jones | Counselor | 5235 N Ironwood Rd, Glendale, WI 53217 | 2016-07-28 |
| 1750783312 | Ibrahim S Abouzeid | Specialist/Technologist, Other | 333 W Brown Deer Road, #240, Milwaukee, WI 53217 | 2014-09-25 |
| 1255733598 | Victoria Gorodetsky | Pharmacist | 229 W Indian Creek Ct, Milwaukee, WI 53217 | 2014-09-18 |
| 1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
| 1710298351 | Leann M Harman | Physical Therapist | 5333 N Port Washington Rd Ste B, Glendale, WI 53217 | 2010-06-29 |
| 1306012455 | Emily Marie Gallagher | Speech-Language Pathologist | 6700 N. Port Washington Road, Milwaukee, WI 53217 | 2008-05-07 |
| 1164625455 | Mary Catherine Enderlin | Psychologist | 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 | 2007-06-06 |
| Find all providers in zip 53217 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427660422 | Joson Dental Corporation | Dentist | 1415 E Colorado St Ste C, Glendale, CA 91205-1577 | 2020-08-20 |
| 1558987271 | Edward Kelly Furlong | Dentist | 5400 W Northern Ave Ste 202, Glendale, AZ 85301-1591 | 2020-06-18 |
| 1578116380 | Krina Patel Mesuria | Dentist | 4545 W Beardsley Rd Apt 2083, Glendale, AZ 85308-5080 | 2019-07-20 |
| 1801455068 | Clayton Corbridge | Dentist | 20100 N 51st Ave Ste E550, Glendale, AZ 85308-5089 | 2019-06-11 |
| 1811454481 | Lucio H Kim Dds | Dentist | 620 E Glenoaks Blvd Ste A, Glendale, CA 91207-1769 | 2019-03-01 |
| 1902386634 | Arjun Bassin | Dentist | 7025 N 75th Ave Ste 101, Glendale, AZ 85303-2545 | 2018-08-21 |
| 1194216200 | Brandon Dawson | Dentist | 9455 W Glendale Ave, Glendale, AZ 85305 | 2018-05-24 |
| 1578062121 | Missagh Pezeshkian, D.d. S., A Professional Corporation | Dentist | 1016 E Broadway Ste 104, Glendale, CA 91205-4534 | 2018-02-09 |
| 1073037347 | Ian Phillip Bishop | Dentist | 6249 W Kristal Way, Glendale, AZ 85308-7661 | 2017-07-28 |
| 1801317391 | Christine Tran | Dentist | 18275 N 59th Ave Ste 128, Glendale, AZ 85308-1252 | 2017-07-05 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.