National Provider Identifier Database

JUSTINE M LEWIS
Dental Therapist

A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations.


Contact Information

JUSTINE M LEWIS
1001 S KNIK GOOSE BAY RD
WASILLA, AK99654-8083
Phone: 907-631-7690
Fax:
Website:
Specialty Taxonomy Code
* Dental Therapist 125J00000X

* Indicates primary specialty

NPI Profile & details for JUSTINE M LEWIS

NPI Number 1760277073
Credentials
Entity Individual
Enumeration date 04/09/2025
Last updated 04/09/2025 - More than a year ago
Sole proprietor1 Yes
Identifiers
  • AK License #: 24-197-DHAT
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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