Fulton D Lewis Iii
DMD | Oral and Maxillofacial Surgeon | 33+ years Exp
1463 Klondike Road, Suite C, Conyers
Georgia, 30094
770-483-9692 678-487-1004
Maps & DirectionsFulton D Lewis Iii is a Conyers, Georgia based Oral and Maxillofacial Surgeon with
33 years of experience in
Oral and Maxillofacial Surgery. He completed his graduation from
Medical Univ Of South Carolina Col Of Dental Med in 1992. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Fulton D Lewis Iii is
DN012694 for Oral and Maxillofacial Surgery in Georgia. His current practice location is
1463 Klondike Road, Suite C, Conyers. Patients can reach him at
770-483-9692.
Fulton D Lewis Iii deals with 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.
Complete Profile:
Fulton D Lewis Iii 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: | Fulton D Lewis Iii |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Male |
| Credentials: | DMD |
| Experience: | 33+ years |
| Medical School Attended: | Medical Univ Of South Carolina Col Of Dental Med |
| Graduation Year: | 1992 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1463 Klondike Road, Suite C, Conyers,
Georgia, 30094 |
| Phone: | 770-483-9692 |
| Fax: | 678-487-1004 |
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.
| PAC ID: | 8426195595 |
| Enrollment ID: | I20110203000451 |
| NPI Number: | 1558479253 |
| NPI Enumeration Date: | 25 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 Fulton D Lewis Iii are as mentioned below.
| License Number | Specialization | State | Status | |
| DN012694 | Oral and Maxillofacial Surgery | Georgia | Primary | |
| 3173 | Oral and Maxillofacial Surgery | South Carolina | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Fulton D Lewis Iii is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Oral Surgery Associates And Dental Implant Center Pc (9537154968) | 9 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1463 Klondike Road, Suite C
Conyers, Georgia |
| Zip: | 30094 |
| Phone Number: | 770-483-9692 |
| Fax Number: | 678-487-1004 |
Patients can reach Fulton D Lewis Iii at
1463 Klondike Road, Suite C, Conyers, Georgia or can
call to book an appointment on 770-483-9692.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.