MEDICARE: DR. RICHARD PAUL LAMBERT DMD

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	122300000X	Dentist	12796	MO

General Provider Information

NPI Number	:	1538278619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD PAUL LAMBERT DMD

Provider Business Mailing Address
First Line	:	825 TUXEDO BLVD
Second Line	:
City	:	WEBSTER GROVES
State	:	MO
Zip	:	63119
Country	:	US
Telephone Number	:	314-961-2618
Fax Number	:	314-963-1436

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

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	07/08/2007

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