Organization
LANE AND ASSOCIATES XLVIII 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
441 S MORGAN ST, ROXBORO, NC 27573-5123
(336) 599-6641
Mailing address
441 S MORGAN ST, ROXBORO, NC 27573-5123
(336) 599-6641
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
10/19/2022
Last updated
11/16/2022
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