Healthcare Provider Details
I. General information
NPI: 1568496016
Provider Name (Legal Business Name): WILLIAM P LAMAS D.M.D., M.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/10/2006
Last Update Date: 10/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2645 SW 37TH AVE STE 304
MIAMI FL
33133-2744
US
IV. Provider business mailing address
2645 SW 37TH AVE STE 304
MIAMI FL
33133-2744
US
V. Phone/Fax
- Phone: 305-440-4114
- Fax: 305-851-0270
- Phone: 305-440-4114
- Fax: 305-851-0270
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | DN14193 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223P0300X |
| Taxonomy | Periodontics |
| License Number | DN14193 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: