Organization
LEWIS ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON M. LEWIS DDS, MS (DOCTOR)
(405) 330-5095
Entity
Organization
Contact information
Practice address
2900 N KELLY AVE, EDMOND, OK 73003-3233
(405) 330-5095
(405) 330-9945
Mailing address
2900 N KELLY AVE, EDMOND, OK 73003-3233
(405) 330-5095
(405) 330-9945
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
157
OK
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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