MEDICARE: FREDERICK BROCK LAMB 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	1223G0001X	General Practice Dentistry	2092	AZ

General Provider Information

NPI Number	:	1700018801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FREDERICK BROCK LAMB DDS

Provider Business Mailing Address
First Line	:	1467 PALMA RD
Second Line	:	SUITE 3
City	:	BULLHEAD CITY
State	:	AZ
Zip	:	86442-6785
Country	:	US
Telephone Number	:	928-763-2516
Fax Number	:

Provider Business Practice Location Address
First Line	:	1467 PALMA RD
Second Line	:	SUITE 3
City	:	BULLHEAD CITY
State	:	AZ
Zip	:	86442-6785
Country	:	US
Telephone Number	:	928-763-2516
Fax Number	:

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

Provider Enumeration Date	:	08/22/2009
Last Update Date	:	08/22/2009

Similar Medicare Providers

1689605404 — BASHIR A AZHER MD
Practice Location Address:

1467 PALMA RD , SUITE 4
BULLHEAD CITY, AZ
86442-6785

Practice Phone: 928-763-5110
Practice Fax: 928-763-1091

1760671804 — BASHIR AHMED AZHER PC
Practice Location Address:

1467 PALMA RD , SUITE 4
BULLHEAD CITY, AZ
86442-6785

Practice Phone: 928-763-5110
Practice Fax: 928-763-1091

1487974408 — DR. RYAN CHARLES SWIGERT DDS
Practice Location Address:

1467 PALMA RD STE 1
BULLHEAD CITY, AZ
86442-6785

Practice Phone: 928-763-1203
Practice Fax: 928-758-1072

1235530379 — RIVER ROCK ORAL SURGERY, LLC
Practice Location Address:

1467 PALMA RD STE 1
BULLHEAD CITY, AZ
86442-6785

Practice Phone: 928-754-2198
Practice Fax:

1447096417 — AJMEDICUS
Practice Location Address:

1467 PALMA RD STE 4
BULLHEAD CITY, AZ
86442-6785

Practice Phone: 561-573-8521
Practice Fax:

1114227956 — PARAISO DEL RIO ADULT DAY CARE LLC
Practice Location Address:

2915 ALPHA ST , SUITE B
RIO GRANDE CITY, TX
78582-6785

Practice Phone: 956-844-9199
Practice Fax: 956-487-0486

Directions to “ FREDERICK BROCK LAMB DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.