Provider Demographics
NPI:1992722656
Name:LAMMING, SCOTT GREGORY (DDS)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:GREGORY
Last Name:LAMMING
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 1:31876 DEL OBISPO ST
Mailing Address - Street 2:SUITE 9
Mailing Address - City:SAN JUAN CAPISTRANO
Mailing Address - State:CA
Mailing Address - Zip Code:92675-3240
Mailing Address - Country:US
Mailing Address - Phone:949-661-2290
Mailing Address - Fax:949-661-8433
Practice Address - Street 1:31876 DEL OBISPO ST
Practice Address - Street 2:SUITE 9
Practice Address - City:SAN JUAN CAPISTRANO
Practice Address - State:CA
Practice Address - Zip Code:92675-3240
Practice Address - Country:US
Practice Address - Phone:949-661-2290
Practice Address - Fax:949-661-8433
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADT 0341401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice