Provider Demographics
NPI:1467763433
Name:LAMPLEY, JANA LAKIM (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:JANA
Middle Name:LAKIM
Last Name:LAMPLEY
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4711 KING JOHN WAY
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-5997
Mailing Address - Country:US
Mailing Address - Phone:770-356-4138
Mailing Address - Fax:
Practice Address - Street 1:8975 WOODYARD RD
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-4203
Practice Address - Country:US
Practice Address - Phone:770-356-4138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDPENDING1223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics