Lam, Anthony Thanh

Lam, Anthony Thanh is an individual health care provider with primary practice located at 1611 S Broad St , Philadelphia PA 19148-1003. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lam, Anthony Thanh can be contacted via phone (215) 271-6999.

Contact Information

Primary practice address
1611 S Broad St Philadelphia PA 19148-1003
Phone: (215) 271-6999
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS035152 Pennsylvania

Profile Details

NPI number 1093703233
LBN Legal business name Lam, Anthony Thanh
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Aug 11th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093703233 NPPES
Pennsylvania MEDICAID 0018705400001

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