# LANE & ASSOCIATES XIII DDS PA

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

## Provider details

- **NPI number:** 1710031612
- **Authorized official:** MRS. ERIN SNIPES POPE (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (919) 639-0264

## Contact information

- **Practice address:** 5923 W FRIENDLY AVE, GREENSBORO, NC 27410-3207
- **Practice address phone:** (336) 632-0744
- **Practice address fax:** (336) 632-0754
- **Mailing address:** 5923 W FRIENDLY AVE, GREENSBORO, NC 27410-3207
- **Mailing address phone:** (336) 632-0744
- **Mailing address fax:** (336) 632-0754

## Taxonomy

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

## Other

- **Enumeration date:** 01/22/2007
- **Last updated:** 06/21/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 016YA | BCBS-NC HEALTHCHOICE | NC |
| 05 | — | 89016TH | — | NC |