Provider Demographics
NPI:1699985507
Name:SCHAMBERGER, LANCE A (DDS)
Entity type:Individual
Prefix:DR
First Name:LANCE
Middle Name:A
Last Name:SCHAMBERGER
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 1:733 US. HWY 24
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LEADVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80461
Mailing Address - Country:US
Mailing Address - Phone:719-486-2060
Mailing Address - Fax:719-486-9429
Practice Address - Street 1:733 U.S. HWY 24
Practice Address - Street 2:SUITE 200
Practice Address - City:LEADVILLE
Practice Address - State:CO
Practice Address - Zip Code:80461
Practice Address - Country:US
Practice Address - Phone:719-486-2060
Practice Address - Fax:719-486-9429
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0156301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice