Provider Demographics
NPI:1063558260
Name:LAMBERT, DENNIS (DDS)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:
Last Name:LAMBERT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3615 SOCIALVILLE FOSTER RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-9671
Mailing Address - Country:US
Mailing Address - Phone:513-754-8900
Mailing Address - Fax:513-754-1402
Practice Address - Street 1:3615 SOCIALVILLE FOSTER RD
Practice Address - Street 2:SUITE A
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-9671
Practice Address - Country:US
Practice Address - Phone:513-754-8900
Practice Address - Fax:513-754-1402
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH206441223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2056153Medicaid