# JIM LU AND SHANE LU DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Burlington Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346728664
- **Authorized official:** DR. JIM LU DDS (OWNER)
- **Authorized official phone:** (706) 254-4191

## Contact information

- **Practice address:** 2430 S CHURCH ST STE B, BURLINGTON, NC 27215
- **Practice address phone:** (336) 639-7101
- **Mailing address:** 322 S DAVIE ST APT 208, GREENSBORO, NC 27401-2856
- **Mailing address phone:** (706) 254-4191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 10319 | NC | Yes |
| 1223G0001X | General Practice Dentistry | 9969 | NC | — |

## Other

- **Enumeration date:** 07/30/2018
- **Last updated:** 07/30/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1922486703 | — | NC |
| 05 | — | 1952719353 | — | NC |