Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Joshua Lewis

Individual provider Dentist · NPI 1679098008

Joshua Lewis is a Dentist in Idaho Falls, Idaho. Licensed in Idaho and Missouri. Registered with an NPI since 2017.

Licensed in
ID, MO
In the registry since
2017
Specialties on file
3

Practice location Address checks out

675 S Woodruff Ave
Idaho Falls, ID 83401-5596
Phone: (208) 538-0104
Fax: (208) 538-0106
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 5167 (ID)
Dentist Taxonomy 122300000X · Licence 2017028241 (MO)
General Practice Dentistry Taxonomy 1223G0001X · Licence D5167 (ID)

Record details

NPI number1679098008
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 7, 2017
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025
Mailing address675 S Woodruff Ave, Idaho Falls, ID 83401-5596

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