Individual provider · Type 1 NPI
Hamilton Evan Pennywell
Pediatric Dentistry · Lawton, OK
NPI number
1922687326
Active
Practice location
4417 W Gore Blvd Ste 11
Lawton, OK 73505-5978
Mailing address
2171 N Highway 77
Waxahachie, TX 75165-6215
Other practice locations
- 2171 N Highway 77, Waxahachie, TX 75165-6215 · (972) 351-9910
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 8144 (OK) |
| Pediatric Dentistry | 1223P0221X | 39755 (TX) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
3 other providers at this address
Other pediatric dentistry providers in Lawton
About NPI 1922687326
Hamilton Evan Pennywell's National Provider Identifier is 1922687326, issued on Apr 5, 2021. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Lawton, OK. The record was last updated on Nov 11, 2025.