National Provider Identifier
Jeffrey Scott Lewis, M.D., D.M.D.
Jeffrey Scott Lewis, M.D., D.M.D. is listed in the NPPES registry with a primary specialty of Oral & Maxillofacial Surgery (D.M.D.) in Ithaca, NY and a listed phone number of (607) 277-7007.
Profile Overview
- NPI
- 1689761025
- Provider Type
- Individual
- Primary Specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- Enumeration Date
- October 06, 2006
- Last Updated
- December 14, 2016
Practice Location
- 200 East Buffalo Street
- Suite 304
- Ithaca, NY 14850
Phone: (607) 277-7007
Mailing Address
- 200 East Buffalo Street
- #304
- Ithaca, NY 14850
Specialties
- Oral & Maxillofacial Surgery (D.M.D.) (204E00000X)
- Oral and Maxillofacial Surgery (Dentist) (1223S0112X)
Full Record
- NPI
- 1689761025
- Entity Type
- Individual
- Last Name
- Lewis
- First Name
- Jeffrey
- Middle Name
- Scott
- Name Prefix
- Dr.
- Credential
- M.D., D.M.D.
- Mailing Street Address
- 200 East Buffalo Street
- Mailing Address Line 2
- #304
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850
- Mailing Country
- US
- Mailing Phone
- (607) 277-7007
- Mailing Fax
- (607) 277-5434
- Practice Street Address
- 200 East Buffalo Street
- Practice Address Line 2
- Suite 304
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850
- Practice Country
- US
- Practice Phone
- (607) 277-7007
- Practice Fax
- (607) 277-5434
- Enumeration Date
- October 06, 2006
- Last Updated
- December 14, 2016
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Oral & Maxillofacial Surgery (D.M.D.) (204E00000X), Oral and Maxillofacial Surgery (Dentist) (1223S0112X)