Healthcare Provider Details

I. General information

NPI: 1548150618
Provider Name (Legal Business Name): LAMROT SOLOMON DMD
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2025
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4323 ATLANTA HWY STE A
LOGANVILLE GA
30052-3313
US

IV. Provider business mailing address

572 WOODCREST MANOR DR
STONE MOUNTAIN GA
30083-4579
US

V. Phone/Fax

Practice location:
  • Phone: 678-367-4615
  • Fax:
Mailing address:
  • Phone: 770-912-3216
  • Fax: 770-912-3216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN123886
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: