Organization
GANE & KARSHNER DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LACEY EARL GANE II DDS (OWNER)
(910) 738-2473
Entity
Organization
Contact information
Practice address
4309 LUDGATE ST, LUMBERTON, NC 28358-2460
(910) 738-2473
Mailing address
4309 LUDGATE ST, LUMBERTON, NC 28358-2460
(910) 738-2473
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4712
NC
122300000X
Dentist
6995
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5921095
—
NC
05
—
899009K
—
NC
05
—
8993076NC
—
NC
Enumeration date
04/30/2007
Last updated
10/02/2012
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