Andrew Nguyen Lam
Dentist, General Practice in Lake Geneva, WI. Individual provider (NPI-1).
NPI number1962321836
StatusActive
Last updated in NPPESJul 14, 2026
Details
- NPI
- 1962321836
- Entity type
- Individual (NPI-1)
- Name
- Andrew Nguyen Lam
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 14, 2026
- Certification date
- Jul 13, 2026
- Last updated
- Jul 14, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 600229015 | WI | Yes |
Practice location
851 Park Dr Ste 101Lake Geneva, WI 53147-4586
Phone 262-248-4991
Mailing address
9501 Ozanam AveMorton Grove, IL 60053-1060
Phone 847-834-5360
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other General Practice Dentistry providers in Lake Geneva, WI
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- Lake Geneva Dental Care LLCNPI 1083732101
- Ann M Limberg, D.D.S.NPI 1033283783
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All 12 General Practice Dentistry providers in Lake Geneva · All 454 providers in Lake Geneva
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