Dr. Lewis Tyler Sumner
Dentist (Oral and Maxillofacial Surgery)

Address: 1209 Ella St, Anderson, SC 29621-4811
Phone: 8642267503

Dr. Lewis Tyler Sumner (NPI# 1225011323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1225011323
Entity Type Individual
Full Name Dr. Lewis Tyler Sumner
Credential D.M.D.
Gender Male
Practice Address 1209 Ella St
Anderson
SC 29621-4811
Practice Telephone 8642267503
Practice Fax Number 8642254937
Mailing Address 1209 Ella St
Anderson
SC 29621-4811
Mailing Telephone 8642267503
Mailing Fax Number 8642254937
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2005-11-22
Last Update Date 2013-10-24

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 1223S0112X Dentist · Oral and Maxillofacial Surgery Dental Providers 3483 SC

Other Provider Identifier

State Identifier Issuer Type Code
SC ZX3483 MEDICAID

Physician Overview

NPI 1225011323
PAC ID by PECOS 7012145295
Professional Enrollment ID I20140115000667
Full Name Lewis Tyler Sumner
Gender M
Medical School MEDICAL COLLEGE OF GEORGIA SCHOOL OF DENTISTRY
Graduation Year 2001
Primary Specialty MAXILLOFACIAL SURGERY
Accepts Medicare Assignment M

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
420027 ANMED HEALTH

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598173627 Blue Ridge Oral and Maxillofacial Surgery Pa Dentist 209 E Highland Ave, Anderson, SC 29621-4711 2014-08-01
1134549629 Foothills Oral & Facial Surgery Dentist 301 W Beltline Blvd, #301, Anderson, SC 29625-1505 2014-04-23
1326173428 Anderson Oral and Maxillofacial Surgery, Pa Dentist 1209 Ella Street, Anderson, SC 29621 2007-02-22
1003978586 Chris D Kinney Dentist 3825 Fairview Dr, Anderson, IN 46013 2006-12-14
1568538098 Oral and Maxillofacial Surgery of Anderson,llc Dentist 1514 North Fant Street, Anderson, SC 29621-4708 2006-11-27
1164492104 Shad Demar Roundy Dentist 1601 Medical Arts Blvd Ste 301, Anderson, IN 46011-3460 2006-01-24
1891172797 Anderson Oral and Maxillofacial Surgery Dentist 1601 Medical Arts Blvd, Suite 3, Anderson, IN 46011-3458 2015-04-29
1457628711 Chris D. Kinney, D.d.s. P.C. Dentist 3825 Fairview Dr, Anderson, IN 46013-4059 2011-11-30
1649316241 William S. Dunlap Jr. Dentist 1514 North Fant Street, Anderson, SC 29621-4708 2007-01-30
1740386242 Howard H. Mohler Dds Inc Dentist 1601 Medical Arts Blvd, Suite 301, Anderson, IN 46011-3458 2006-09-15
Find all providers in ANDERSON

Office Location

Street Address 1209 ELLA ST
City ANDERSON
State SC
Zip Code 29621-4811

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114574241 Kathryn L Harwick Social Worker 3030 Sc-81, Anderson, SC 29621 2019-08-22
1326517194 Ashlea Bronwen Bates Nurse Practitioner 3424 Clemson Blvd., Anderson, SC 29621 2018-11-21
1770051708 Bailee Vernon Mccarley Nurse Practitioner 800 Fant St, Anderson, SC 29621 2018-11-07
1790278893 Morgan Cutts Speech-Language Pathologist 126 Broadbent Way, Suite A, Anderson, SC 29621 2018-06-13
1427546233 Amanda Coker Burnette Student in an Organized Health Care Education/Training Program 3000 East Greenville Street, Suite 3700, Anderson, SC 29621 2018-04-26
1205342169 Robert Allen Dameron Jr. Orthopaedic Surgery 130 Longview Drive, Anderson, SC 29621 2017-12-14
1578085411 Michael Jason Bell Contractor 520 Hwy 29 Bypass N, Anderson, SC 29621 2017-07-12
1639629983 Todd E. Hamilton Dentist 1112 Cornelia Road, Anderson, SC 29621 2016-10-11
1992151328 Veronica Williams Non-emergency Medical Transport (VAN) 2314 Old Williamston Road, Anderson, SC 29621 2016-05-04
1528436664 Wendy Chaney, LLC Community/Behavioral Health 513 West Butler Road, Suite A, Greenville, SC 29621 2015-09-07
Find all providers in zip 29621

Competitor

Search similar providers

City ANDERSON
Zip Code 29621

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.