Provider Demographics
NPI:1366119414
Name:RACHEL LEWIN, DDS, LLC
Entity type:Organization
Organization Name:RACHEL LEWIN, DDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:LISA
Authorized Official - Last Name:LEWIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:215-439-0888
Mailing Address - Street 1:120 HOLLY DR
Mailing Address - Street 2:
Mailing Address - City:HATBORO
Mailing Address - State:PA
Mailing Address - Zip Code:19040-1517
Mailing Address - Country:US
Mailing Address - Phone:215-439-0888
Mailing Address - Fax:215-646-5135
Practice Address - Street 1:858 E WELSH RD STE 3
Practice Address - Street 2:
Practice Address - City:MAPLE GLEN
Practice Address - State:PA
Practice Address - Zip Code:19002-2942
Practice Address - Country:US
Practice Address - Phone:215-643-3755
Practice Address - Fax:215-646-5135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-26
Last Update Date:2022-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental