Organization
LANE AND ASSOCIATES XXXI DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA M DUFFY (CREDENTIALING MANAGER)
(919) 295-2757
Entity
Organization
Contact information
Practice address
1242 S FIFTH ST STE D, MEBANE, NC 27302-9756
(919) 304-1666
(919) 304-1698
Mailing address
1242 S FIFTH ST STE D, MEBANE, NC 27302-9756
(919) 304-1666
(919) 304-1698
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
06/05/2017
Last updated
02/21/2023
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