Provider Demographics
NPI:1063146629
Name:MONICA A LAMBLE DDS MS PLLC
Entity type:Organization
Organization Name:MONICA A LAMBLE DDS MS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LAMBLE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:989-792-4431
Mailing Address - Street 1:205 N COLONY DR
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48638-7101
Mailing Address - Country:US
Mailing Address - Phone:989-792-4431
Mailing Address - Fax:989-792-4387
Practice Address - Street 1:205 N COLONY DR
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48638-7101
Practice Address - Country:US
Practice Address - Phone:989-792-4431
Practice Address - Fax:989-792-4387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-11
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty