Organization
J.V. LANE, P.C.
Active
Other names
AMERICAN DENTAL CENTERS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULES V. LANE D.D.S. (OWNER)
(516) 822-8700
Entity
Organization
Contact information
Practice address
35 BROADWAY, HICKSVILLE, NY 11801-4266
(516) 822-8700
(516) 931-1010
Mailing address
35 BROADWAY, HICKSVILLE, NY 11801-4266
(516) 822-8700
(516) 931-1010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019735
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01772967
—
NY
Enumeration date
10/14/2005
Last updated
08/22/2020
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