Provider Demographics
NPI:1497767487
Name:LAMBERT, CHARLES H (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:H
Last Name:LAMBERT
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 BROOK RD
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NH
Mailing Address - Zip Code:03031-2408
Mailing Address - Country:US
Mailing Address - Phone:603-253-4363
Mailing Address - Fax:603-253-4148
Practice Address - Street 1:60 WHITTIER HWY
Practice Address - Street 2:SUITE #1
Practice Address - City:MOULTONBORO
Practice Address - State:NH
Practice Address - Zip Code:03254-3684
Practice Address - Country:US
Practice Address - Phone:603-253-4363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH14191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAZ89463OtherBLUE CROSS BLUE SHEILD
PA862950OtherUNITED CONCORDIA
MA3011419OtherDELTA DENTAL OF MASS
AL77001560OtherBLUE CROSS BLUE SHEILD
NH30005259Medicaid
NH6452OtherHEALTHSOURCE