Lane and Associates Xlvii DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LANE AND ASSOCIATES XLVII DDS PA

Practice address

515 S Caswell St
La Grange, NC 28551-2005

Phone

(252) 566-9616

NPI assigned

Jun 23, 2022

Last updated

Jun 23, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alicia Duffy

Title

Credentialing Manager

Phone

(919) 295-2757

Specialties & licenses 2

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kyle Denton

  • Dentist
  • La Grange, NC
  • NPI 1003406752
  NPD
• Joseph Anthony Marchese Jr., DDS

  • General Practice Dentistry
  • La Grange, NC
  • NPI 1033127501
  NPD
• Michael Sean Williams, DDS

  • General Practice Dentistry
  • Jacksonville, NC
  • NPI 1265792998
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1083345664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12450 CLEVELAND RD STE 204",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275298355",
            "telephone_number": "919-295-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S CASWELL ST",
            "city": "LA GRANGE",
            "state": "NC",
            "postal_code": "285512005",
            "telephone_number": "252-566-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE AND ASSOCIATES XLVII DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "919-295-2757"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Dawn Heath
• Jennifer Lynn Heath
• Crystal Ingram, MSW, LCSW-A
• Tanger Lee Jones
• Kinston Clinic Pharmacy Inc (Dempsey's Drugs La Grange)
• Mackenzie King Lewis, M.S., LMFT
• Tamiko Loftin, LCSW
• Joseph Anthony Marchese Jr., DDS
• Mary Taylor Homes
• Lisa Radford May

• General Practice Dentistry in La Grange, NC
• Providers in La Grange, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.