Healthcare Provider Details

I. General information

NPI: 1124730551
Provider Name (Legal Business Name): SARAH BANY LAM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2022
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2920 JONES FRANKLIN RD
RALEIGH NC
27606-4023
US

IV. Provider business mailing address

1700 CARY RESERVE DR
CARY NC
27519-9630
US

V. Phone/Fax

Practice location:
  • Phone: 984-261-0004
  • Fax:
Mailing address:
  • Phone: 720-285-5321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number14390
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: