Robert Anson Lane, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013335 Issued in GA

Practice address

115 N Cuthbert St
Colquitt, GA 39837-3401

Phone

(229) 758-3345

Fax

(229) 758-3339

NPI assigned

Jul 6, 2006

Last updated

Nov 5, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Colquitt Dental Care,LLC

  • Dental Clinic/Center
  • Colquitt, GA
  • NPI 1992065106
  NPD (past) Authorized official
• Grimsley Dental Clinic, LLC

  • Dental Clinic/Center
  • Colquitt, GA
  • NPI 1265681092
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1679505283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96",
            "city": "COLQUITT",
            "state": "GA",
            "postal_code": "398370096",
            "telephone_number": "229-758-3345",
            "fax_number": "229-758-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N CUTHBERT ST",
            "city": "COLQUITT",
            "state": "GA",
            "postal_code": "398373401",
            "telephone_number": "229-758-3345",
            "fax_number": "229-758-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "ROBERT",
        "middle_name": "ANSON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ugo Alexis Ireh, MD
• Amanda Jackson, CRNA
• Edgar Lowell Justice, MD
• Robert Marvin Kikel, D.D.S
• Virginia Kirkland, RD, LD, CECES
• Lane's Pharmacy & DME Inc (Lanes Medical Shoppe)
• Lanes-DME, Inc. (Lanes Medical Shoppe)
• Loving Care Personal Care Home
• Brent Martin
• Donna L McCann, M.D.

• General Practice Dentistry in Colquitt, GA
• Providers in Colquitt, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.