Healthcare Provider Details

I. General information

NPI: 1104937010
Provider Name (Legal Business Name): LAMBOY AND RUBIO, DDS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WESTWOOD AVENUE
HIGH POINT NC
27262
US

IV. Provider business mailing address

100 WESTWOOD AVENUE
HIGH POINT NC
27262
US

V. Phone/Fax

Practice location:
  • Phone: 336-885-5437
  • Fax: 336-885-5454
Mailing address:
  • Phone: 336-885-5437
  • Fax: 336-885-5454

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number7892
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number8103
License Number StateNC

VIII. Authorized Official

Name: MISS MAYRA K AYALA RUBIO
Title or Position: PEDIATRIC DENTIST
Credential: DDS
Phone: 678-595-6470