Organization Active NPI

Din Lam DMD, MD, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Indian Trail, NC
National Provider Identifier
1164979589
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
9847 Issued in NC
Legal business name
DIN LAM DMD, MD, PLLC
Doing business as
Oral and Facial Surgery of Carolinas
Practice address
605 Indian Trail Rd S
Indian Trail, NC 28079-7682
Phone
(646) 584-8007
NPI assigned
Sep 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Din Lam, DMD, MD
Title
Owner
Phone
(646) 584-8007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 9847 NC Primary

Addresses

Primary practice location

605 Indian Trail Rd S
Indian Trail, NC 28079-7682

Mailing address

605 Indian Trail Rd S
Indian Trail, NC 28079-7682
Phone (646) 584-8007

Other names 1

  • Oral and Facial Surgery of Carolinas Doing business as

National Provider Directory

National Provider Directory

Locations

605 Indian Trail Rd S
Indian Trail, NC 28079
Phone (646) 584-8007

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1164979589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 INDIAN TRAIL RD S",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280797682",
            "telephone_number": "646-584-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 INDIAN TRAIL RD S",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280797682",
            "telephone_number": "646-584-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIN LAM DMD, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "DIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-584-8007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "9847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oral and Facial Surgery of Carolinas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indian Trail, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.