MEDICARE: DR. DAVID M LAMBERT DDS

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	5723	NC

General Provider Information

NPI Number	:	1205984341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID M LAMBERT DDS

Provider Business Mailing Address
First Line	:	5015 SOUTHPARK DR STE 120
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27713-7736
Country	:	US
Telephone Number	:	919-806-2898
Fax Number	:	919-806-2958

Provider Business Practice Location Address
First Line	:	5015 SOUTHPARK DR STE 120
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27713-7736
Country	:	US
Telephone Number	:	919-806-2898
Fax Number	:	919-806-2958

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	07/08/2007

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