Provider Demographics
NPI:1235577750
Name:MICHAEL LAMPI DENTAL
Entity Type:Organization
Organization Name:MICHAEL LAMPI DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:NEIL
Authorized Official - Last Name:LAMPI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:507-776-7901
Mailing Address - Street 1:403 N 4TH AVE E
Mailing Address - Street 2:
Mailing Address - City:TRUMAN
Mailing Address - State:MN
Mailing Address - Zip Code:56088-1108
Mailing Address - Country:US
Mailing Address - Phone:507-776-7901
Mailing Address - Fax:507-776-8284
Practice Address - Street 1:403 N 4TH AVE E
Practice Address - Street 2:
Practice Address - City:TRUMAN
Practice Address - State:MN
Practice Address - Zip Code:56088-1108
Practice Address - Country:US
Practice Address - Phone:507-776-7901
Practice Address - Fax:507-776-8284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-06
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND7822305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service