Provider Demographics
NPI:1407077746
Name:LAMKIN, GERARD SHERMAN (DDS PA)
Entity Type:Individual
Prefix:DR
First Name:GERARD
Middle Name:SHERMAN
Last Name:LAMKIN
Suffix:
Gender:M
Credentials:DDS PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12213 MEADOW CREEK CT
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-1409
Mailing Address - Country:US
Mailing Address - Phone:240-731-9522
Mailing Address - Fax:
Practice Address - Street 1:6201 GREENBELT ROAD, SUITE U5
Practice Address - Street 2:
Practice Address - City:BERWYN HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20740
Practice Address - Country:US
Practice Address - Phone:301-441-2550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2020-03-09
Deactivation Date:2020-02-25
Deactivation Code:
Reactivation Date:2020-03-09
Provider Licenses
StateLicense IDTaxonomies
MD4177122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist