Provider Demographics
NPI:1871666339
Name:LAMBERT, BRIAN J (DDS MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:J
Last Name:LAMBERT
Suffix:
Gender:M
Credentials:DDS MD
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Mailing Address - Street 1:451 EAST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940
Mailing Address - Country:US
Mailing Address - Phone:845-343-7529
Mailing Address - Fax:845-343-7532
Practice Address - Street 1:430 ROBINSON AVENUE
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550
Practice Address - Country:US
Practice Address - Phone:845-343-7529
Practice Address - Fax:845-343-7532
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2016-02-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY04462711223S0112X
PADS030426L1223S0112X
NY0446271223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery