Organization
LANE AND ASSOCIATES XXX, DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA M DUFFY (CREDENTIALING MANAGER)
(919) 295-2757
Entity
Organization
Contact information
Practice address
10677 US 15 501 HWY STE 100, SOUTHERN PINES, NC 28387-5154
(910) 295-5980
(910) 295-3593
Mailing address
10677 US 15 501 HWY STE 100, SOUTHERN PINES, NC 28387-5154
(910) 295-5980
(910) 295-3593
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
07/05/2016
Last updated
05/05/2022
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