Organization
LANE AND ASSOCIATES XIV DDS PA
Active
Other names
Durham Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA DUFFY (CREDENTIALING MANAGER)
(919) 295-2757
Entity
Organization
Contact information
Practice address
1200 BROAD ST STE 300, DURHAM, NC 27705-3573
(919) 286-6646
(919) 286-6668
Mailing address
1200 BROAD ST STE 300, DURHAM, NC 27705-3573
(919) 286-6646
(919) 286-6668
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4785
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016YU
BCBS-NC HEALTHCHOICE
NC
05
—
89016TG
—
NC
Enumeration date
01/22/2007
Last updated
04/04/2023
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