Organization

Lane And Associates Xxxii Dds Pa

General Practice Dentistry in Clinton, NC(View on Map)

Legal Business Name

Lane And Associates Xxxii Dds Pa

NPI Number

1083144992

NPI Type

Organization

Enumeration Date

06/13/2017

Specialties

(Taxonomies)

Code

1223G0001X
122300000X
1223E0200X
1223P0106X
1223X0400X
1223P0300X

Primary Taxonomy

Yes
No
No
No
No
No

Licenses

State

North Carolina

License Number

4785

Contact
Information

Purpose

Mailing
Location

Address

120 NE MAYNARD RD
411 FAIRVIEW ST

City

Cary
Clinton

State

NC
NC

Postal Code

27513-9615
28328-2311

Country

US
US

Telephone Number

(919) 677-1932
(910) 592-3516

Authorized Official

Name

Alicia Duffy

Title or Position

CREDENTIALING MANAGER

Telephone Number

(919) 295-2757

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/28/2022

Provider Address

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Organization

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Organization

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Organization

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Organization

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Specialty: General Practice Dentistry (Primary)