Lane and Associates III, DDS PA

Organization Active NPI General Practice Dentistry · Angier, NC

NPI 1508917592 · NPPES record last updated Oct 2, 2008

Key facts

NPI
1508917592
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
4785 (NC)
Legal business name
LANE AND ASSOCIATES III, DDS PA
Practice address
15 Rawls Road
Suite 200 Box 160
Angier, NC 27501
Phone
(919) 639-2272
Fax
(919) 639-8654
NPI assigned
Jan 16, 2007
Organization subpart
No

Authorized official

Name
Mrs. Tammy Moran
Title
Comptroller
Phone
(910) 814-2944

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

15 Rawls Rd
Ste 200
Angier, NC 27501
Phone (919) 586-8372

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP
1223G0001X 4785 NC Yes

Addresses

Primary practice location

15 Rawls Road
Suite 200 Box 160
Angier, NC 27501

Mailing address

15 Rawls Road
Suite 200 Box 160
Angier, NC 27501
Phone (919) 639-2272

Other identifiers

IdentifierTypeStateIssuer
0172COtherNCBCBS-NC HEALTHCHOICE
890172CMedicaidNC
138012OtherNCUNITED CONCORDIA

Other providers in Angier, NC

All providers in Angier, NC · General Practice Dentistry in North Carolina

Sources for this page

Verify at the official NPI Registry.