Provider Demographics
NPI:1174727556
Name:LAMB, WHITNEY NICOLE (DDS)
Entity type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:NICOLE
Last Name:LAMB
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 N. HUDSON
Mailing Address - Street 2:309 N. HUDSON
Mailing Address - City:ALTUS
Mailing Address - State:OKLAHOMA
Mailing Address - Zip Code:73521
Mailing Address - Country:UM
Mailing Address - Phone:580-379-9200
Mailing Address - Fax:580-379-9202
Practice Address - Street 1:309 N. HUDSON
Practice Address - Street 2:
Practice Address - City:ALTUS
Practice Address - State:OK
Practice Address - Zip Code:73521-1307
Practice Address - Country:US
Practice Address - Phone:580-379-9200
Practice Address - Fax:580-379-9202
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5952122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist