Provider Demographics
NPI:1134384597
Name:LAMBERT, JASON EVAN (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:EVAN
Last Name:LAMBERT
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3069 ENGLISH CREEK AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:EGG HARBOR TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08234-9708
Mailing Address - Country:US
Mailing Address - Phone:609-485-2100
Mailing Address - Fax:609-485-2115
Practice Address - Street 1:3069 ENGLISH CREEK AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:EGG HARBOR TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08234-9708
Practice Address - Country:US
Practice Address - Phone:609-485-2100
Practice Address - Fax:609-485-2115
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-25
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0373461223E0200X
NC77821223E0200X
NJDI024901001223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics