# LANE AND ASSOCIATES XXXII DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083144992
- **Authorized official:** ALICIA DUFFY (CREDENTIALING MANAGER)
- **Authorized official phone:** (919) 295-2757

## Contact information

- **Practice address:** 411 FAIRVIEW ST, CLINTON, NC 28328-2311
- **Practice address phone:** (910) 592-3516
- **Practice address fax:** (910) 592-0530
- **Mailing address:** 120 NE MAYNARD RD, CARY, NC 27513-9615
- **Mailing address phone:** (919) 677-1932
- **Mailing address fax:** (919) 677-2942

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223E0200X | Endodontics | — | NULL | — |
| 1223E0200X | Endodontics | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | 4785 | NC | — |
| 1223P0300X | Periodontics | 4785 | NC | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | 4785 | NC | — |

## Other

- **Enumeration date:** 06/13/2017
- **Last updated:** 04/28/2022