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Fulton D Lewis III, DMD
Oral and Maxillofacial Surgery (Dentist) in Conyers, Georgia
NPI 1558479253

Fulton D Lewis III is a Oral and Maxillofacial Surgery (Dentist) based in Conyers, GA and is specialized in Oral and Maxillofacial Surgery. Fulton D Lewis III practices in Conyers, GA and has the professional credentials of DMD. The NPI Number for Fulton D Lewis III is 1558479253 and holds a License No. DN012694 (Georgia).

The current practice location address for Fulton D Lewis III is 1463 Klondike Road, Conyers, GA and can be reached out via phone at 770-483-9692 and via fax at 678-487-1004.

Location: 1463 Klondike Road, Conyers, GA, 30094
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558479253
Provider Name
Fulton D Lewis III
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1463 Klondike Road, Conyers, GA, 30094
Phone Number
770-483-9692
Fax Number
678-487-1004
Provider Enumeration Date
08/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1463 Klondike Road
City
Conyers
State
Georgia
Zip
30094
Phone Number
770-483-9692
Fax Number
678-487-1004
person
Provider Business Mailing Address Details
Address
1463 Klondike Road
City
Conyers
State
Georgia
Zip
30094
Phone Number
770-483-9692
Fax Number
678-487-1004
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DN012694 (Georgia)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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