# LANE DENTAL LLC

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

## Provider details

- **NPI number:** 1184800443
- **Authorized official:** DR. ANDREW R LANE DDS (OWNER)
- **Authorized official phone:** (317) 581-1200

## Contact information

- **Practice address:** 14747 OAK ROAD, SUITE 400, CARMEL, IN 46033
- **Practice address phone:** (317) 581-1200
- **Practice address fax:** (317) 582-0855
- **Mailing address:** 14747 OAK ROAD, SUITE 400, CARMEL, IN 46033
- **Mailing address phone:** (317) 581-1200
- **Mailing address fax:** (317) 582-0855

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12010414A | IN | Yes |

## Other

- **Enumeration date:** 01/17/2008
- **Last updated:** 01/17/2008