Individual
ADAM J LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4323 HILL ST, 4323 HILL STREET, COLUMBIA, SC 29207-6022
(803) 751-6209
(803) 751-6886
Mailing address
4323 HILL ST, USA DENTAC, COLUMBIA, SC 29207-6022
(803) 751-6209
(803) 751-6886
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
8772
SC
1223E0200X
Endodontics
Primary
DDS103489
CA
1223E0200X
Endodontics
DN015132
GA
Other
Enumeration date
08/24/2010
Last updated
02/19/2019
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