Provider Demographics
NPI:1619939584
Name:LAMBERT, RONALD JAMES (DDS)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:JAMES
Last Name:LAMBERT
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 1:2115 E EVERGREEN DRIVE
Mailing Address - Street 2:DENTAL ASSOCIATES, LTD
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54913
Mailing Address - Country:US
Mailing Address - Phone:920-734-2345
Mailing Address - Fax:
Practice Address - Street 1:2115 E EVERGREEN DR
Practice Address - Street 2:DENTAL ASSOCIATES, LTD
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54913
Practice Address - Country:US
Practice Address - Phone:920-734-2345
Practice Address - Fax:920-734-5651
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX173451223G0001X
WI28451223G0001X
IA066811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice