Provider Demographics
NPI:1366596637
Name:CHARLES H. LAMBERT, D.M.D., PC
Entity type:Organization
Organization Name:CHARLES H. LAMBERT, D.M.D., PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:H
Authorized Official - Last Name:LAMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:603-253-4363
Mailing Address - Street 1:60 WHITTIER HWY
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MOULTONBORO
Mailing Address - State:NH
Mailing Address - Zip Code:03254-3684
Mailing Address - Country:US
Mailing Address - Phone:603-253-4363
Mailing Address - Fax:603-253-4148
Practice Address - Street 1:60 WHITTIER HWY
Practice Address - Street 2:SUITE 1
Practice Address - City:MOULTONBORO
Practice Address - State:NH
Practice Address - Zip Code:03254-3684
Practice Address - Country:US
Practice Address - Phone:603-253-4363
Practice Address - Fax:603-253-4148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH14191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH49191909Medicaid