# LANE AND ASSOCIATES IX DDS PA

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

## Provider details

- **NPI number:** 1679626832
- **Authorized official:** ALICIA MARIE DUFFY (CREDENTIALING MANAGER)
- **Authorized official phone:** (919) 295-2757

## Contact information

- **Practice address:** 131 MONTGOMERY XING, BISCOE, NC 27209
- **Practice address phone:** (910) 428-2048
- **Practice address fax:** (910) 428-2328
- **Mailing address:** 131 MONTGOMERY XING, BISCOE, NC 27209
- **Mailing address phone:** (910) 428-2048
- **Mailing address fax:** (910) 428-2328

## Taxonomy

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

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 02/21/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 014KO | BCBS-NC HEALHCHOICE | NC |
| 01 | — | 1595139 | UNITED CONCORDIA | NC |
| 05 | — | 89014K | — | NC |