Provider Demographics
NPI:1164508404
Name:LAMBERT, DAVID W (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:W
Last Name:LAMBERT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:RUTH
Other - Middle Name:E
Other - Last Name:LAMBERT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:805 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:LOUDON
Mailing Address - State:TN
Mailing Address - Zip Code:37774-1433
Mailing Address - Country:US
Mailing Address - Phone:865-458-9556
Mailing Address - Fax:865-458-4342
Practice Address - Street 1:805 GROVE ST
Practice Address - Street 2:
Practice Address - City:LOUDON
Practice Address - State:TN
Practice Address - Zip Code:37774-1433
Practice Address - Country:US
Practice Address - Phone:865-458-9556
Practice Address - Fax:865-458-4342
Is Sole Proprietor?:No
Enumeration Date:2006-10-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN48651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice