Healthcare Provider Details

I. General information

NPI: 1376691584
Provider Name (Legal Business Name): DAVID M. LAMBERT, DDS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5015 SOUTHPARK DR STE 120
DURHAM NC
27713-7736
US

IV. Provider business mailing address

5015 SOUTHPARK DR STE 120
DURHAM NC
27713-7736
US

V. Phone/Fax

Practice location:
  • Phone: 919-806-2898
  • Fax: 919-806-2958
Mailing address:
  • Phone: 919-806-2898
  • Fax: 919-806-2958

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number5723
License Number StateNC

VIII. Authorized Official

Name: DR. DAVID M LAMBERT
Title or Position: PRESIDENT
Credential: DDS
Phone: 919-806-2898