Healthcare Provider Details

I. General information

NPI: 1689512998
Provider Name (Legal Business Name): MOUNTAIN SMILES - LAMBERTH & LAMBERTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 FRANKLIN ST
ALEXANDER CITY AL
35010-1913
US

IV. Provider business mailing address

6 FRANKLIN ST
ALEXANDER CITY AL
35010-1913
US

V. Phone/Fax

Practice location:
  • Phone: 256-234-6401
  • Fax:
Mailing address:
  • Phone: 256-234-6401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANGEL GIMENEZ
Title or Position: CREDENTIALING SENIOR MANAGER
Credential:
Phone: 719-300-5933