Provider Demographics
NPI:1386676096
Name:LAMB, JOEY LANE (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOEY
Middle Name:LANE
Last Name:LAMB
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 1:11490 ALPHARETTA HWY
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-3811
Mailing Address - Country:US
Mailing Address - Phone:770-475-3040
Mailing Address - Fax:770-663-0158
Practice Address - Street 1:11490 ALPHARETTA HWY
Practice Address - Street 2:SUITE 400
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-3811
Practice Address - Country:US
Practice Address - Phone:770-475-3040
Practice Address - Fax:770-663-0158
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN11098122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist