Provider Demographics
NPI:1093814790
Name:LAMPL, PAUL O (DMD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:O
Last Name:LAMPL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:210 FULTON ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-3004
Mailing Address - Country:US
Mailing Address - Phone:516-333-0478
Mailing Address - Fax:516-333-0482
Practice Address - Street 1:210 FULTON ST
Practice Address - Street 2:SUITE 103
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-3004
Practice Address - Country:US
Practice Address - Phone:516-333-0478
Practice Address - Fax:516-333-0482
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2017-06-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY040271-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice