Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
LANE AND ASSOCIATES XII DDS PA
Active
Organization
LANE AND ASSOCIATES XII DDS PA
Active
Other names
Lane and Associates XII
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA DUFFY (CREDENTIALING MANAGER)
(919) 295-2757
Entity
Organization
Contact information
Practice address
4106 WAKE FOREST RD STE 100, RALEIGH, NC 27609-6397
(919) 876-2464
(919) 876-1409
Mailing address
4106 WAKE FOREST RD, SUITE 100, RALEIGH, NC 27609-6227
(919) 876-2464
(919) 876-1409
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4785
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016YF
BCBS-NC HEALTHCHOICE
NC
05
—
89016TJ
—
NC
Enumeration date
01/22/2007
Last updated
11/27/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers