Provider Demographics
NPI:1235296740
Name:LAMMERT, CHRISTOPHER BERNARD (DDS)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:BERNARD
Last Name:LAMMERT
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 1:300 OZARK TRAIL DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:ELLISVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63011-2156
Mailing Address - Country:US
Mailing Address - Phone:636-394-3196
Mailing Address - Fax:636-394-3585
Practice Address - Street 1:300 OZARK TRAIL DR
Practice Address - Street 2:SUITE 105
Practice Address - City:ELLISVILLE
Practice Address - State:MO
Practice Address - Zip Code:63011-2156
Practice Address - Country:US
Practice Address - Phone:636-394-3196
Practice Address - Fax:636-394-3585
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO13122122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist