Healthcare Provider Details

I. General information

NPI: 1962770495
Provider Name (Legal Business Name): JORDAN ALEXANDER LAMBERTON D.D.S., M.S.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2011
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3449 VALLE VERDE DR STE A
NAPA CA
94558-2414
US

IV. Provider business mailing address

3449 VALLE VERDE DR STE A
NAPA CA
94558-2414
US

V. Phone/Fax

Practice location:
  • Phone: 707-226-5555
  • Fax:
Mailing address:
  • Phone: 707-226-5555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number61054
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: