Provider Demographics
NPI:1689866477
Name:LAMBERT DENTAL PC
Entity Type:Organization
Organization Name:LAMBERT DENTAL PC
Other - Org Name:LAMBERT DENTAL PC DR JAMES LAMBERT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DDS OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:LAMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-749-9330
Mailing Address - Street 1:6480 HWY 11 NORTH
Mailing Address - Street 2:
Mailing Address - City:CARRIERE
Mailing Address - State:MS
Mailing Address - Zip Code:39426
Mailing Address - Country:US
Mailing Address - Phone:601-749-9330
Mailing Address - Fax:601-749-9449
Practice Address - Street 1:6480 HWY 11 NORTH
Practice Address - Street 2:
Practice Address - City:CARRIERE
Practice Address - State:MS
Practice Address - Zip Code:39426
Practice Address - Country:US
Practice Address - Phone:601-749-9330
Practice Address - Fax:601-749-9449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-15
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS3007122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty