Individual
DR. PAYTON TYLER LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1212 DODDS AVE, CHATTANOOGA, TN 37404-4754
(423) 206-9641
Mailing address
2328 E 18TH ST, CHATTANOOGA, TN 37404-5207
(662) 242-0669
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12296
TN
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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