Organization
DR. RICKY LANE, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICKY LANE DMD (OWNER/DENTIST)
(912) 764-5625
Entity
Organization
Contact information
Practice address
1066 BERMUDA RUN, STATESBORO, GA 30458-0858
(912) 764-5625
Mailing address
1066 BERMUDA RUN, STATESBORO, GA 30458-0858
(912) 764-5625
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/27/2026
Last updated
05/04/2026
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