Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fulton D Lewis III, DMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1558479253

Fulton D Lewis III, DMD is an Oral Surgery in Conyers, Georgia. Graduated from Medical Univ of South Carolina Col of Dental Med in 1992, 34 years ago. Practices with Oral Surgery Associates and Dental Implant Center PC, a 9-clinician group and accepts Medicare assignment. Licensed in Georgia and South Carolina.

Years since qualifying
34
Trained at
Medical Univ of South Carolina Col of Dental Med
Licensed in
GA, SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

1463 Klondike Rd Ste C
Conyers, GA 30094
Phone: (770) 483-9692
Fax: (678) 487-1004
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence DN012694 (GA)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 3173 (SC)

Record details

NPI number1558479253
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 25, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1463 Klondike Road, Suite C, Conyers, GA 30094

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolMEDICAL UNIV OF SOUTH CAROLINA COL OF DENTAL MED
Graduated 1992 (34 years in practice)
Group practice Oral Surgery Associates And Dental Implant Center Pc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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