LANE & ASSOCIATES XXI DDS PA NPI 1275819708

NPI Information

LANE & ASSOCIATES XXI, DDS PA is an oral and maxillofacial surgery dentist in Raleigh, NC. The provider is 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. LANE & ASSOCIATES XXI, DDS PA NPI is 1275819708. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4106 WAKE FOREST RD
SUITE 203
RALEIGH, NC
ZIP 27609-398
Phone: (919) 277-0577

The provider's authorized official is Phillip Butts .
The authorized official title is Vp Contracts And Development and has the following contact phone number (919) 863-9763.

The enumeration date for this NPI number is 10/28/2011 and was last updated on 10/28/2011.

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:

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