Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871505529 Individual Practitioner Male Practitioner

Dr. Kenneth Dwayne Lewis , DDS

Dentist - General Practice • Odessa, TX

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Lewis, DDS is a registered healthcare professional specializing in Dentist - General Practice in Odessa, TX. Practice services are available at 1149 E 42ND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1149 E 42nd St

Odessa, TX 797627723

Telephone 4323627927
Fax 4323627928

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Odessa, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
39 Specialists

Practicing in Odessa, TX (10570 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 15924

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs
D15924 (TX)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1149 E 42ND ST, ODESSA, TX 797627723 (Tel: 4323627927)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1149 E 42ND ST, ODESSA, TX 797627723 (Tel: 4323627927)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH LEWIS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #15924 in TX)

🟢
Initial NPI Registration & Enumeration August 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871505529
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

1149 E 42nd St

Odessa, TX 797627723

Phone: 4323627927

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.