Hamilton Evan Pennywell

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

8144 Issued in OK

Practice address

4417 W Gore Blvd Ste 11
Lawton, OK 73505-5978

Phone

(580) 248-8418

NPI assigned

Apr 5, 2021

Last updated

Nov 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chris Larrow PLLC

  dba Lawton Kids Dentistry and Braces

  • General Practice Dentistry
  • Lawton, OK
  • NPI 1275194623
  NPD (past)
• Wavel L. Wells, DDS, Inc

  • General Practice Dentistry
  • Lawton, OK
  • NPI 1457448698

  Pediatric Dentistry

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1922687326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 N HIGHWAY 77",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751656215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4417 W GORE BLVD STE 11",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055978",
            "telephone_number": "580-248-8418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2171 N Highway 77",
            "address_purpose": "LOCATION",
            "city": "Waxahachie",
            "state": "TX",
            "postal_code": "751656215",
            "country_code": "US",
            "telephone_number": "972-351-9910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENNYWELL",
        "first_name": "HAMILTON",
        "middle_name": "EVAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-05",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OK",
            "license": "8144",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "39755",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Lynn Peni, COTA/L
• Haliyah K. Penn, LCSW
• Caleb J Pennington, BS
• Kayla Pennington, M.S.
• Pollyanna Pennington, NURSE
• Leanne Perales
• Michele G Perdasofpy
• Mandie Perdue, MS, LPC
• Darla Florence Pereira, ARNP
• Devin Perez

• Pediatric Dentistry in Lawton, OK
• Providers in Lawton, OK by specialty
• Pediatric Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.