# LANE AND ASSOCIATES XXVII DDS PA

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

## Provider details

- **NPI number:** 1639502727
- **Authorized official:** ALICIA DUFFY (CREDENTIALING MANAGER)
- **Authorized official phone:** (919) 295-2757

## Contact information

- **Practice address:** 4013 VILLAGE PARK DR, KNIGHTDALE, NC 27545-7044
- **Practice address phone:** (919) 217-2813
- **Mailing address:** 4013 VILLAGE PARK DR, KNIGHTDALE, NC 27545-7044
- **Mailing address phone:** (919) 217-2813

## Taxonomy

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

## Other

- **Enumeration date:** 08/13/2013
- **Last updated:** 03/18/2024