Individual provider · Type 1 NPI

Shannon M. Lewis, DDS, MS, PC

Orthodontics and Dentofacial Orthopedics Dentistry · Edmond, OK

NPI number 1891797692 Active

Practice location

2900 N Kelly Ave
Edmond, OK 73003-3233

Call (405) 330-5095 Map

Fax (405) 330-9945

Mailing address

2900 N. Kelly Avenue
Edmond, OK 73003

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X157 (OK)

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 1891797692

Shannon M. Lewis, DDS, MS, PC's National Provider Identifier is 1891797692, issued on Aug 11, 2005. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Edmond, OK. The record was last updated on Feb 27, 2014.