# LANE AND ASSOCIATES XXVIII, DDS PA

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

## Provider details

- **NPI number:** 1841694254
- **Authorized official:** ALICIA DUFFY (CREDENTIALING MANAGER)
- **Authorized official phone:** (919) 295-2757

## Contact information

- **Practice address:** 806 W HAMLET AVE STE A, HAMLET, NC 28345-2508
- **Practice address phone:** (910) 582-5143
- **Practice address fax:** (910) 582-8620
- **Mailing address:** 806 W HAMLET AVENUE, HAMLET, NC 28435-2508
- **Mailing address phone:** (910) 582-5143
- **Mailing address fax:** (910) 582-8620

## Taxonomy

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

## Other

- **Enumeration date:** 10/14/2014
- **Last updated:** 04/26/2022