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JIM LAM DDS PLLC
NPI 1083386114
Dentist - Oral and Maxillofacial Surgery in Canutillo, TX

Active since September 28, 2021
6821 DONIPHAN DR, CANUTILLO, TX 79835(915) 877-4949(915) 877-4242 Get Directions Write a Review

NPPES record last updated: March 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jim Lam Dds Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JIM LAM DDS PLLC (NPI 1083386114) is a healthcare organization registered as an oral and maxillofacial surgery in Canutillo, Texas and active in the NPI registry since September 2021. The organization maintains a secondary practice location in Anthony and lists Jim Lam, Dentist, as its authorized official.

NPPES Registry Identity

NPI1083386114
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameJIM LAM DDS PLLC
Location Address6821 DONIPHAN DRCanutillo, TX 79835-5402
Mailing Address6821 Doniphan DrCanutillo, TX 79835-5402 · (915) 877-4949 · Fax (915) 877-4242
Phone(915) 877-4949
Fax(915) 877-4242
Organization SubpartNo
Authorized OfficialJim LamDentist · (626) 235-6572
Enumeration DateSeptember 28, 2021
Last NPPES UpdateMarch 18, 2022
NPPES CertifiedMarch 18, 2022
✔ NPI 1083386114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentist · General PracticeTaxonomy 1223G0001X
6821 DONIPHAN DR, Canutillo, TX 79835
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Secondary Practice Location 1

Location 1209 Main St Ste BAnthony, TX 79821-7242 · Phone (915) 886-7110 · Fax (915) 886-7121

Other Identifiers 1

Medicaid36284785NM

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHETAN SHIVARAM DDS P.C
Dentist (General Practice)
6821 DONIPHAN DR
CANUTILLO, TX 79835
El Paso County (915) 788-4949

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jim Lam Dds PLLC's NPI number?

The NPI number for Jim Lam Dds PLLC is 1083386114. It was assigned to this organization in the NPPES registry on September 28, 2021.

Where is Jim Lam Dds PLLC located?

Jim Lam Dds PLLC is located at 6821 Doniphan Dr, Canutillo, TX 79835. The listed phone number is (915) 877-4949.

What is Jim Lam Dds PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Jim Lam Dds PLLC was last updated on March 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.