Provider Demographics
NPI:1871650028
Name:LAMBETH, HAROLD D SR (DDS)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:D
Last Name:LAMBETH
Suffix:SR
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 1:505 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:GRIDLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95948-2219
Mailing Address - Country:US
Mailing Address - Phone:530-846-4223
Mailing Address - Fax:530-846-5921
Practice Address - Street 1:505 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:GRIDLEY
Practice Address - State:CA
Practice Address - Zip Code:95948-2219
Practice Address - Country:US
Practice Address - Phone:530-846-4223
Practice Address - Fax:530-846-5921
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19447122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist