Healthcare Provider Details

I. General information

NPI: 1639277908
Provider Name (Legal Business Name): CAROLINE LORRAINE LAMBERT DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 10/10/2024
Certification Date: 10/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1528 BRONZE WAY
KNOXVILLE TN
37922
US

IV. Provider business mailing address

1413 WILLOW CROSSING DR
KNOXVILLE TN
37922-1444
US

V. Phone/Fax

Practice location:
  • Phone: 760-650-6347
  • Fax:
Mailing address:
  • Phone: 760-650-6347
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number175422
License Number StateAK
# 2
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number12489
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: