NPI 1255860607 · live from the CMS NPI Registry
Jonathan Lambert
Dentist, Orthodontics and Dentofacial Orthopedics in Avon, IN. National Provider Identifier 1255860607, active.
NPI record
| NPI | 1255860607 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 110 N Avon Ave B, Avon, IN 46123 |
| Practice phone | 317-272-7206 |
| Mailing address | 110 N Avon Ave # B, Avon, IN 46123 |
| Enumerated | June 8, 2017 |
| Last updated | July 21, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 12012372A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.