Professional Lane Dental, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PROFESSIONAL LANE DENTAL, PLLC

Practice address

102 Professional LN
Dothan, AL 36303-3874

Phone

(334) 792-0997

Fax

(334) 702-6896

NPI assigned

Apr 21, 2020

Last updated

May 13, 2020By 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

Jolinda Strickland

Title

Office Manager

Phone

(334) 792-0997

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Nancy Miller Hein Covert, DMD

  • General Practice Dentistry
  • Dothan, AL
  • NPI 1295833705
  NPD (past)
• Emily Anne Latta Grisham, D.M.D

  • Pediatric Dentistry
  • Huntsville, AL
  • NPI 1114309705
  NPD (past)

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1508486424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PROFESSIONAL LN",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363033874",
            "telephone_number": "334-792-0997",
            "fax_number": "334-702-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PROFESSIONAL LN",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363033874",
            "telephone_number": "334-792-0997",
            "fax_number": "334-702-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL LANE DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "STRICKLAND",
        "authorized_official_first_name": "JOLINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "334-792-0997"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PRN Staffers Dal
• Pro-Vision Eye Health, LLC
• Jonathan Tyler Proctor, PHARMD
• Professional Counseling and Consulting Service LLC
• Professional Lane Dental Association
• Professional Resource Management of Wiregrass, LLC (Southeast Psychiatric Services)
• Professional Resource Management of Wiregrass, LLC (Southeast Neurology)
• Andrea Proffitt, PHARM D
• Edward Prosser
• Vernon L Pruitt, MD

• Dental Clinic/Center in Dothan, AL
• Providers in Dothan, AL by specialty
• Dental Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.