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LANE & ASSOCIATES DDS XVII PA NPI 1720131972


NPI Information

NPI: 1720131972
Provider Name: LANE & ASSOCIATES DDS XVII PA
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
12450 CLEVELAND RD STE 100
GARNER, NC
ZIP 27529
Phone: (919) 772-9927
Get Directions

LANE & ASSOCIATES DDS XVII PA is a general practice dentist in Garner, 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 & ASSOCIATES DDS XVII PA NPI is 1720131972. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12450 CLEVELAND RD STE 100
GARNER, NC
ZIP 27529-355
Phone: (919) 772-9927
Fax: (919) 772-0647

The provider's authorized official is Alicia Marie 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 1/19/2007 and was last updated on 2/21/2023.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice4785NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15902254MEDICAIDNORTH CAROLINA
2017K1OTHERNORTH CAROLINABCBS-NC HEALTHCHOICE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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