# LANE AND ASSOCIATES II, DDS PA

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

## Provider details

- **NPI number:** 1417008442
- **Authorized official:** MRS. TAMMY MORAN (COMPTROLLER)
- **Authorized official phone:** (910) 814-2944

## Contact information

- **Practice address:** 100 N 10TH ST, BOX 546, ERWIN, NC 28339-1802
- **Practice address phone:** (910) 897-4083
- **Practice address fax:** (910) 980-0240
- **Mailing address:** 100 N 10TH ST, BOX 546, ERWIN, NC 28339-1802
- **Mailing address phone:** (910) 897-4083
- **Mailing address fax:** (910) 980-0240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4785 | NC | Yes |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0203F | BCBS-NC HEALTH CHOICE | NC |
| 01 | — | 1378581 | UNITED CONCORDIA | NC |
| 05 | — | 890203F | — | NC |