Provider Demographics
NPI:1992793087
Name:LAMB, RICHARD NEIL (DDS)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:NEIL
Last Name:LAMB
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 1:1600 E FORT AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21230-5233
Mailing Address - Country:US
Mailing Address - Phone:410-332-0555
Mailing Address - Fax:410-528-1028
Practice Address - Street 1:1600 E FORT AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21230-5233
Practice Address - Country:US
Practice Address - Phone:410-332-0555
Practice Address - Fax:410-528-1028
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD54431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice