MEDICARE: TIMOTHY LAM DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	40160	TX

General Provider Information

NPI Number	:	1053165043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY LAM DMD

Provider Business Mailing Address
First Line	:	10620 SABO RD STE A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-1656
Country	:	US
Telephone Number	:	832-212-0054
Fax Number	:

Provider Business Practice Location Address
First Line	:	10620 SABO RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-1656
Country	:	US
Telephone Number	:	713-947-8811
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2024
Last Update Date	:	08/13/2025

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