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Dr. Kenneth Dwayne Lewis, DDS
General Practice Dentistry in Odessa, Texas
NPI 1871505529

Kenneth Dwayne Lewis is a General Practice Dentistry based in Odessa, TX and is specialized in General Practice. Kenneth Dwayne Lewis practices in Odessa, TX and has the professional credentials of DDS. The NPI Number for Kenneth Dwayne Lewis is 1871505529 and holds a License No. 15924 (Texas).

The current practice location address for Kenneth Dwayne Lewis is 1149 E 42Nd St, Odessa, TX and can be reached out via phone at 432-362-7927 and via fax at 432-362-7928.

Location: 1149 E 42Nd St, Odessa, TX, 79762-7723
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871505529
Provider Name
Kenneth Dwayne Lewis
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1149 E 42Nd St, Odessa, TX, 79762-7723
Phone Number
432-362-7927
Fax Number
432-362-7928
Provider Enumeration Date
08/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D15924 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
1149 E 42Nd St
City
Odessa
State
Texas
Zip
79762-7723
Phone Number
432-362-7927
Fax Number
432-362-7928
person
Provider Business Mailing Address Details
Address
1149 E 42Nd St
City
Odessa
State
Texas
Zip
79762-7723
Phone Number
432-362-7927
Fax Number
432-362-7928
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
15924 (Texas)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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