LANE AND ASSOCIATES XII DDS PA NPI 1811041700

NPI Information

LANE AND ASSOCIATES XII DDS PA is a general practice dentist in Raleigh, NC. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. LANE AND ASSOCIATES XII DDS PA NPI is 1811041700. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Lane And Associates Xii.

The provider's business location address is:

4106 WAKE FOREST RD STE 100
RALEIGH, NC
ZIP 27609-397
Phone: (919) 876-2464
Fax: (919) 876-1409

The provider's authorized official is Alicia Duffy .
The authorized official title is Credentialing Manager and has the following contact phone number (919) 295-2757.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 11/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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