Provider Demographics
NPI:1316474257
Name:PATRICIA SWAINTEK-LAMB DMD PC
Entity type:Organization
Organization Name:PATRICIA SWAINTEK-LAMB DMD PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SWAINTEK-LAMB
Authorized Official - Suffix:
Authorized Official - Credentials:DMD PC
Authorized Official - Phone:908-221-1188
Mailing Address - Street 1:10 ANDERSON HILL RD
Mailing Address - Street 2:
Mailing Address - City:BERNARDSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07924-2323
Mailing Address - Country:US
Mailing Address - Phone:908-221-1188
Mailing Address - Fax:908-221-9696
Practice Address - Street 1:10 ANDERSON HILL RD
Practice Address - Street 2:
Practice Address - City:BERNARDSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07924-2323
Practice Address - Country:US
Practice Address - Phone:908-221-1188
Practice Address - Fax:908-221-9696
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PATRICIA SWAINTEK-LAMB DMD PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-05-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI18906332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1942472477OtherNPI
NJ7615910001Medicaid