Provider Demographics
NPI:1538896741
Name:LEWIS, SHEELA ELENA (DDS)
Entity type:Individual
Prefix:DR
First Name:SHEELA
Middle Name:ELENA
Last Name:LEWIS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1309 CALLE PODEROSA
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-7150
Mailing Address - Country:US
Mailing Address - Phone:661-900-2042
Mailing Address - Fax:
Practice Address - Street 1:1309 CALLE PODEROSA
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-7150
Practice Address - Country:US
Practice Address - Phone:661-900-2042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-07
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS1055961223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics