Dr. Wendel John Lewis , DMD
Dentist - General Practice • Rexburg, ID
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. Wendel Lewis has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Wendel Lewis, DMD was a registered Dentist - General Practice practicing in Rexburg, ID. Throughout an active medical career spanning 17 years, Dr. Lewis provided care at the practice location at 130 W MAIN ST until profile deactivation on 2024-12-19.
Practice Location & Contact Primary Location
130 W Main St
Rexburg, ID 834401827
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Rexburg, ID
Practicing in Rexburg, ID (781 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist
Doctor of Dental Surgery
Career & Practice History Timeline
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Record deactivated on December 19, 2024
NPI status registered as active in NPPES database
Registered at 130 W MAIN ST, REXBURG, ID 834401827 (Tel: 2083564132)
Registered at 130 W MAIN ST, REXBURG, ID 834401827 (Tel: 2083564132)
Recorded as WENDEL LEWIS, DMD
Dentist (License #D1565 in ID)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
130 W Main St
Rexburg, ID 834401827
Phone: 2083564132
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