Provider Demographics
NPI:1801184163
Name:LAMBERT, ROBERT COLE (DMD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:COLE
Last Name:LAMBERT
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10972 ALLISONVILLE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-2638
Mailing Address - Country:US
Mailing Address - Phone:317-845-7878
Mailing Address - Fax:317-570-7193
Practice Address - Street 1:10972 ALLISONVILLE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-2638
Practice Address - Country:US
Practice Address - Phone:317-845-7878
Practice Address - Fax:317-570-7193
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-20
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN42000405A1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery