Provider Demographics
NPI:1639137284
Name:LAMBERT, MICHAEL B (DMD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:B
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 1:251 OCONNOR DR
Mailing Address - Street 2:#3
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-1656
Mailing Address - Country:US
Mailing Address - Phone:408-296-2190
Mailing Address - Fax:
Practice Address - Street 1:251 OCONNOR DR
Practice Address - Street 2:#3
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-1656
Practice Address - Country:US
Practice Address - Phone:408-296-2190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33033122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist