IndividualActive
Justine Lewis
NPI 1760277073 · Dental Therapist · Wasilla, AK
Provider details
- NPI number
- 1760277073
- Entity type
- Individual
- Primary specialty
- Dental TherapistDental Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 24-197-DHAT (AK)
Specialties & taxonomies
Dental Providers
Practice location
1001 S Knik Goose Bay Rd
Wasilla, AK 99654-8083
Phone: (907) 631-7690
Approximate (ZIP-level) locationGet directions
Mailing address
7033 E Tudor Rd
Anchorage, AK 99507-1262
Registry dates
- Enumerated
- 2025-04-09
- Last updated
- 2025-04-09
- Certified
- 2025-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.