DR. LARRY SCOTT LEWIS DDS
NPI 1215146105
Dentist - General Practice in Modesto, CA

Active since May 21, 2007
3609 COFFEE RD STE 3, MODESTO, CA 95355(209) 526-1190(209) 526-3245 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Larry Scott Lewis Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LARRY SCOTT LEWIS DDS (NPI 1215146105) is an individual general practice provider in Modesto, California, licensed in California (24037) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1215146105
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. LARRY SCOTT LEWISCredential: DDS
Location Address3609 COFFEE RD STE 3Modesto, CA 95355-1100
Mailing Address3609 Coffee Rd Ste 3Modesto, CA 95355-1100 · (209) 526-1190 · Fax (209) 526-3245
Fax(209) 526-3245
Sole ProprietorNo
Enumeration DateMay 21, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1215146105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 24037
Definition

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.

3609 COFFEE RD STE 3, Modesto, CA 95355

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
3609 COFFEE RD STE 3
MODESTO, CA 95355

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Lewis's NPI number?

The NPI number for Larry Lewis is 1215146105. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Larry Lewis located?

Larry Lewis practices at 3609 Coffee Rd Ste 3, Modesto, CA 95355. The listed phone number is (209) 526-1190.

What is Larry Lewis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Larry Lewis was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.