| Lewis Orthodontics | |
|
2900 N Kelly Ave Edmond OK 73003-3233 | |
| (405) 330-5095 | |
| (405) 330-9945 |
| Full Name | Lewis Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2900 N Kelly Ave, Edmond, Oklahoma |
| Authorized Official Name and Position | Shannon M. Lewis (DOCTOR) |
| Authorized Official Contact | 4053305095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewis Orthodontics 2900 N Kelly Ave Edmond OK 73003-3233 Ph: (405) 330-5095 | Lewis Orthodontics 2900 N Kelly Ave Edmond OK 73003-3233 Ph: (405) 330-5095 |
| NPI Number | 1588838403 |
|---|---|
| Provider Enumeration Date | 04/22/2008 |
| Last Update Date | 04/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588838403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 157 (Oklahoma) | Primary |
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