Provider Demographics
NPI:1205960747
Name:TURNEY, LEWIS FRANK (DDS)
Entity type:Individual
Prefix:MR
First Name:LEWIS
Middle Name:FRANK
Last Name:TURNEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1803 S DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:GUTHRIE
Mailing Address - State:OK
Mailing Address - Zip Code:73044-6061
Mailing Address - Country:US
Mailing Address - Phone:405-282-7600
Mailing Address - Fax:405-282-0298
Practice Address - Street 1:1803 S DIVISION ST
Practice Address - Street 2:
Practice Address - City:GUTHRIE
Practice Address - State:OK
Practice Address - Zip Code:73044-6061
Practice Address - Country:US
Practice Address - Phone:405-282-7600
Practice Address - Fax:405-282-0298
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK55581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100091610AMedicaid