Individual provider Active NPI

Trung Quoc Lam, DDS

  • Dentist
  • Laurel, MD
National Provider Identifier
1780781385
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12051 Issued in MD
Practice address
14333 Laurel Bowie Rd
Ste #200
Laurel, MD 20708
Phone
(301) 498-7733
Fax
(301) 470-2211
NPI assigned
Sep 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12051 MD Primary

Addresses

Primary practice location

14333 Laurel Bowie Rd
Ste #200
Laurel, MD 20708

Mailing address

14333 Laurel Bowie Rd
Ste #200
Laurel, MD 20708
Phone (301) 498-7733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12051MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Trung Quoc Lam, DDS, PC Dentist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780781385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14333 LAUREL BOWIE RD",
            "address_2": "STE #200",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "20708",
            "telephone_number": "301-498-7733",
            "fax_number": "301-470-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14333 LAUREL BOWIE RD",
            "address_2": "STE #200",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "20708",
            "telephone_number": "301-498-7733",
            "fax_number": "301-470-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "TRUNG",
        "middle_name": "QUOC",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "12051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.