Gary Lewellyn, DMD

Dentist · Medford, OR

Individual Active NPI

NPI number 1396999744

Practice location

720 Bennett Ave
Medford, OR 97504-6722
Phone
(541) 772-8280
Fax
(541) 734-7771

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NPI record

NPI
1396999744
Entity type
Individual (Type 1)
Enumeration date
November 12, 2008
Last updated
November 12, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D3764 OR

About Dr. Lewellyn

Gary Lewellyn, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 720 Bennett Ave, Medford, OR 97504-6722. The NPI number 1396999744 was assigned on November 12, 2008 and the record was last updated on November 12, 2008.

Dr. Lewellyn lists a license in the registry: #D3764 (OR) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gary Lewellyn, DMD?

The NPI number is 1396999744.

What is the phone number of Dr. Lewellyn?

The phone number listed for the practice location is (541) 772-8280.

Where is Dr. Lewellyn located?

720 Bennett Ave, Medford, OR 97504-6722.

What is the taxonomy code for Dr. Lewellyn?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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