# LANE AND ASSOCIATES III, DDS PA

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

## Provider details

- **NPI number:** 1508917592
- **Authorized official:** MRS. TAMMY MORAN (COMPTROLLER)
- **Authorized official phone:** (910) 814-2944

## Contact information

- **Practice address:** 15 RAWLS ROAD, SUITE 200 BOX 160, ANGIER, NC 27501
- **Practice address phone:** (919) 639-2272
- **Practice address fax:** (919) 639-8654
- **Mailing address:** 15 RAWLS ROAD, SUITE 200 BOX 160, ANGIER, NC 27501
- **Mailing address phone:** (919) 639-2272
- **Mailing address fax:** (919) 639-8654

## Taxonomy

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

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 10/02/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0172C | BCBS-NC HEALTHCHOICE | NC |
| 01 | — | 138012 | UNITED CONCORDIA | NC |
| 05 | — | 890172C | — | NC |