Organization
CHRISTOPHER J LANE DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER JOSEPH LANE BS, DDS (OWNER)
(914) 946-1249
Entity
Organization
Contact information
Practice address
95 CHURCH ST, SUITE 404, WHITE PLAINS, NY 10601-1515
(914) 946-1249
Mailing address
95 CHURCH ST, SUITE 404, WHITE PLAINS, NY 10601-1515
(914) 946-1249
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
042192
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01455985
—
NY
01
—
D5M421
MEDICARE ID TYPE UNSPECIFIED
NY
Enumeration date
08/18/2009
Last updated
08/18/2009
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