Organization
LANE AND ASSOCIATES I DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA DUFFY (CREDENTIALING MANAGER)
(919) 292-2757
Entity
Organization
Contact information
Practice address
1213 N MAIN ST, FUQUAY VARINA, NC 27526-2616
(919) 552-9711
(919) 552-2157
Mailing address
1213 N MAIN ST, FUQUAY VARINA, NC 27526-2616
(919) 552-9711
(919) 552-2157
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4785
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890147A
—
NC
Enumeration date
07/31/2006
Last updated
12/11/2023
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