DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. SHANNON M. LEWIS DDS, MS, PC

MEDICARE: DR. SHANNON M. LEWIS DDS, MS, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry157OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891797692
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHANNON M. LEWIS DDS, MS, PC
Provider Business Mailing Address
First Line : 2900 N. KELLY AVENUE
Second Line :
City : EDMOND
State : OK
Zip : 73003
Country : US
Telephone Number : 405-330-5095
Fax Number : 405-330-9945
Provider Business Practice Location Address
First Line : 2900 N KELLY AVE
Second Line :
City : EDMOND
State : OK
Zip : 73003-3233
Country : US
Telephone Number : 405-330-5095
Fax Number : 405-330-9945
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2005
Last Update Date : 02/27/2014

Similar Medicare Providers

1386386324 — BRYANT ALEXANDER PIERCE MD
Practice Location Address:
2916 N KELLY AVE
EDMOND, OK
73003-3233
Practice Phone: 405-715-5300
Practice Fax: 405-715-5350
1649347501 — JOEL S. GRUBBS DO
Practice Location Address:
2916 N KELLY AVE
EDMOND, OK
73003-3233
Practice Phone: 405-715-5300
Practice Fax: 405-715-5350
1588838403 — LEWIS ORTHODONTICS
Practice Location Address:
2900 N KELLY AVE
EDMOND, OK
73003-3233
Practice Phone: 405-330-5095
Practice Fax: 405-330-9945
1801168976 — MRS. BRITTANY FAITH CABRERA PA-C
Practice Location Address:
2916 N KELLY AVE
EDMOND, OK
73003-3233
Practice Phone: 405-715-5300
Practice Fax: 405-715-5350
1932554961 — JOANNA BARTHOLOMEW D.O.
Practice Location Address:
2916 N KELLY AVE
EDMOND, OK
73003-3233
Practice Phone: 405-715-5300
Practice Fax: 405-715-5350
1851817407 — DR. JORDEN DANIEL POPE DO
Practice Location Address:
2916 N KELLY AVE
EDMOND, OK
73003-3233
Practice Phone: 405-715-5300
Practice Fax: 405-715-5350

Directions to “ DR. SHANNON M. LEWIS DDS, MS, PC” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.