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Deactivated NPI 1790897940 Deactivated / Inactive NPI Male Practitioner

Dr. Gary Alan Lewis , DMD

Dentist • Jesup, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gary Lewis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 31, 2006
NPI Deactivation Date December 15, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Gary Lewis, DMD was a registered Dentist practicing in Jesup, GA. Throughout an active medical career spanning 11 years, Dr. Lewis provided care at the practice location at 107 DRENNON DRIVE until profile deactivation on 2017-12-15.

Practice Location & Contact Primary Location

Practice Address

107 Drennon Drive

Jesup, GA 315450011

Telephone 9124277072
Fax 9124279350
Associated Practice Facility / Clinic
🏢 Gary A. Lewis, D.m.d., P.a. Facility NPI 1366560401

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Jesup, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
4 Specialists

Practicing in Jesup, GA (2164 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License GA 8778

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1952412116

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 15, 2017

Record deactivated on December 15, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 107 DRENNON DRIVE, JESUP, GA 315450011 (Tel: 9124277072)

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Updated Business Mailing Address July 08, 2007

Registered at 107 DRENNON DRIVE, JESUP, GA 315450011 (Tel: 9124277072)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GARY LEWIS, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #8778 in GA)

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Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790897940
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: July 08, 2007
Deactivation Date: December 15, 2017

Mailing Address

107 Drennon Drive

Jesup, GA 315450011

Phone: 9124277072

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.