Individual
DR. LEWIS TYLER SUMNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1209 ELLA ST, ANDERSON, SC 29621-4811
(864) 226-7503
(864) 225-4937
Mailing address
1209 ELLA ST, ANDERSON, SC 29621-4811
(864) 226-7503
(864) 225-4937
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3483
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3483
—
SC
Enumeration date
11/22/2005
Last updated
10/24/2013
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