Dr. Kenneth Dwayne Lewis is a Odessa, Texas based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Kenneth Dwayne Lewis is 15924 for General Practice Dentistry in Texas. His current practice location is 1149 E 42nd St, Odessa. Patients can reach him at 432-362-7927.
Dr. Kenneth Dwayne Lewis is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Kenneth Dwayne Lewis speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Kenneth Dwayne Lewis
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
1149 E 42nd St, Odessa, Texas, 79762-7723
Phone:
432-362-7927
Fax:
432-362-7928
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1871505529
NPI Enumeration Date:
12 Aug, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kenneth Dwayne Lewis are as mentioned below.
License Number
Specialization
State
Status
15924
General Practice Dentistry
Texas
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kenneth Dwayne Lewis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
D15924
Other
Texas
BCBS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1149 E 42nd St, Odessa, Texas
Zip:
79762-7723
Phone Number:
432-362-7927
Fax Number:
432-362-7928
Patients can reach Dr. Kenneth Dwayne Lewis at 1149 E 42nd St, Odessa, Texas or can call to book an appointment on 432-362-7927. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.