Provider Demographics
NPI:1194840215
Name:LAMBETH, WARD S (DDS)
Entity Type:Individual
Prefix:
First Name:WARD
Middle Name:S
Last Name:LAMBETH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:I-40 AND SANDY RIDGE RD
Mailing Address - Street 2:PO BOX 117
Mailing Address - City:COLFAX
Mailing Address - State:NC
Mailing Address - Zip Code:27235
Mailing Address - Country:US
Mailing Address - Phone:336-996-5088
Mailing Address - Fax:
Practice Address - Street 1:I-40 AND SANDY RIDGE RD
Practice Address - Street 2:
Practice Address - City:COLFAX
Practice Address - State:NC
Practice Address - Zip Code:27235
Practice Address - Country:US
Practice Address - Phone:336-996-5088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4919122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist