Lewis Proffitt, D.M.D Valid NPI
Individual provider · General Practice Dentistry · Marlton, NJ
- NPI
- 1942324942
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 11364 (NJ)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-03-17
- Last updated
- 2007-07-08
Practice location
8001 Lincoln Dr W Ste A
Marlton, NJ 08053-3211
(732) 750-0707