Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649470832 Individual Practitioner Male Practitioner

Dr. Robert Dell Lewis , DMD

Dentist - General Practice • Star, ID

Professional Overview & Biography Verified Profile Summary

Dr. Robert Lewis, DMD is a registered healthcare professional specializing in Dentist - General Practice in Star, ID. Practice services are available at 9776 W STATE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9776 W State St

Star, ID 836695766

Telephone 2088984080
Fax 2088984095
Associated Practice Facility / Clinic
🏢 Morning Star Dental Pa Facility NPI 1114069903

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Star, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.3 Yrs
Regional Practice Density
2 Specialists

Practicing in Star, ID (781 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License ID D-4065

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
808628400 (ID)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 12, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location July 12, 2012

Registered at 9776 W STATE ST, STAR, ID 836695766 (Tel: 2088984080)

📍
Updated Business Mailing Address July 12, 2012

Registered at 9776 W STATE ST, STAR, ID 836695766 (Tel: 2088984080)

👤
Provider Name / Credentials Updated July 12, 2012

Recorded as ROBERT LEWIS, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2012

Dentist (License #D-4065 in ID)

🟢
Initial NPI Registration & Enumeration July 25, 2007

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: 1649470832
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2007
Last Update: July 12, 2012
Sole Proprietor: Yes

Mailing Address

9776 W State St

Star, ID 836695766

Phone: 2088984080

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.