Provider Demographics
NPI:1497987242
Name:LAMBETH, MEGUMI (DDS)
Entity Type:Individual
Prefix:DR
First Name:MEGUMI
Middle Name:
Last Name:LAMBETH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3608 UNIVERSITY DR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-6260
Mailing Address - Country:US
Mailing Address - Phone:919-688-4100
Mailing Address - Fax:
Practice Address - Street 1:3608 UNIVERSITY DR
Practice Address - Street 2:SUITE 104
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-6260
Practice Address - Country:US
Practice Address - Phone:919-688-4100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-12
Last Update Date:2012-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC90641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice