Provider Demographics
NPI:1598984510
Name:LEMBERG, ALAN I (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:I
Last Name:LEMBERG
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 1:1 N FIRST ST
Mailing Address - Street 2:
Mailing Address - City:INDIAN HEAD
Mailing Address - State:MD
Mailing Address - Zip Code:20640-1801
Mailing Address - Country:US
Mailing Address - Phone:301-743-5252
Mailing Address - Fax:301-743-5257
Practice Address - Street 1:1 NORTH FIRST ST
Practice Address - Street 2:
Practice Address - City:INDIAN HEAD
Practice Address - State:MD
Practice Address - Zip Code:20540
Practice Address - Country:US
Practice Address - Phone:301-743-5252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD7018122300000X, 1223G0001X
VA0401006127122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice