# LANE ORAL & MAXILLOFACIAL SURGERY PC

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

## Provider details

- **NPI number:** 1407954761
- **Authorized official:** DR. WILLIAM F LANE DMD (PRESIDENT)
- **Authorized official phone:** (508) 746-8700

## Contact information

- **Practice address:** 30 RESNIK RD, PLYMOUTH, MA 02360
- **Practice address phone:** (508) 746-8700
- **Practice address fax:** (508) 746-2434
- **Mailing address:** 30 RESNIK RD, PLYMOUTH, MA 02360
- **Mailing address phone:** (508) 746-8700
- **Mailing address fax:** (508) 746-2434

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 13878 | MA | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 21191 | MA | — |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 10/06/2011