MEDICARE: MARKMAN,D.D.S AND LAMBERT,D.M.D.,PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	012374	MO

General Provider Information

NPI Number	:	1174691299
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARKMAN,D.D.S AND LAMBERT,D.M.D.,PC

Provider Business Mailing Address
First Line	:	620A N MCKNIGHT RD
Second Line	:	SUITE 2A
City	:	SAINT LOUIS
State	:	MO
Zip	:	63132-4911
Country	:	US
Telephone Number	:	314-432-5988
Fax Number	:	314-432-2074

Provider Business Practice Location Address
First Line	:	620A N MCKNIGHT RD
Second Line	:	SUITE 2A
City	:	SAINT LOUIS
State	:	MO
Zip	:	63132-4911
Country	:	US
Telephone Number	:	314-432-5988
Fax Number	:	314-432-2074

Authorized Official
Title or Position	:	SECRETARY
Name	:	DR. WAYNE SOLON MARKMAN
Credential	:	D.D.S.
Telephone Number	:	314-432-5988

Provider Enumeration Date	:	11/30/2006
Last Update Date	:	08/22/2020

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