Provider Demographics
NPI:1124133061
Name:COWDEN, LESTER LYMAN III (DDS)
Entity type:Individual
Prefix:DR
First Name:LESTER
Middle Name:LYMAN
Last Name:COWDEN
Suffix:III
Gender:M
Credentials:DDS
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Mailing Address - Street 1:3100 W BRITTON RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-2036
Mailing Address - Country:US
Mailing Address - Phone:405-751-3312
Mailing Address - Fax:405-751-3524
Practice Address - Street 1:3100 W BRITTON RD
Practice Address - Street 2:SUITE A
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-2036
Practice Address - Country:US
Practice Address - Phone:405-751-3312
Practice Address - Fax:405-751-3524
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
OK4687204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKU40341Medicare UPIN