Individual provider · Type 1 NPI

Walter Glenn Lewis, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Marietta, GA

NPI number 1780848788 Active

Practice location

2526 Shallowford Rd, Suite A
Marietta, GA 30066-3053

Fax (770) 924-2822

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	DN009753 (GA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1780848788

Walter Glenn Lewis, DDS's National Provider Identifier is 1780848788, issued on Jul 18, 2008. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Marietta, GA. The record was last updated on Jul 18, 2008.