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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FULTON D LEWIS III, DMD

Active

FULTON D LEWIS III, DMD is a Oral & Maxillofacial Surgery healthcare provider located in CONYERS, Georgia. NPI 1558479253 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · CONYERS, GA

Registration Details

NPI Number
1558479253
Provider Type
Individual
Gender
Male
NPI Issued
Aug 25, 2006 (19.935550509482 yrs)
Last Updated
Jul 8, 2007
Licenses
DN012694 (GA)
3173 (SC)

Practice Information

Address
1463 KLONDIKE ROAD
SUITE C
CONYERS, GA, 30094
Browse GA providers · Browse ZIP 30094
Phone
7704839692
Fax
6784871004
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
Oral & Maxillofacial Surgery

Other Oral & Maxillofacial Surgery Providers in CONYERS, GA

Name Credential NPI
STEVEN D POLLACK DDS 1366550063
GORDON L BRADY DMD 1619085396
STEVEN P KING DDS 1669580312
RICHARD S SINGER DDS 1750499414
ROBERT E GOING JR. DDS 1376651034
BRETT C GRAY DMD MD 1619085362
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.