Organization
LANE & ASSOCIATES XIII DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERIN SNIPES POPE (CREDENTIALING COORDINATOR)
(919) 639-0264
Entity
Organization
Contact information
Practice address
5923 W FRIENDLY AVE, GREENSBORO, NC 27410-3207
(336) 632-0744
(336) 632-0754
Mailing address
5923 W FRIENDLY AVE, GREENSBORO, NC 27410-3207
(336) 632-0744
(336) 632-0754
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4785
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016YA
BCBS-NC HEALTHCHOICE
NC
05
—
89016TH
—
NC
Enumeration date
01/22/2007
Last updated
06/21/2018
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