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

Individual provider Dental Assistant · NPI 1568037703

Traci Marie Lew, DA is a Dental Assistant in New York, New York. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2021
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Practice location Address checks out

176 Grand St
New York, NY 10013-3786
Phone: (973) 919-6160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X (NJ)

Record details

NPI number1568037703
Entity typeIndividual (Type 1)
GenderFemale
Credentials DA
Sole proprietorYes
NPI enumeratedMay 20, 2021
Last updated in NPPESAugust 14, 2024
Certification dateAugust 14, 2024

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