Colquitt Dental Care,LLC
Organization Active NPI Dental Clinic/Center · Colquitt, GA
NPI 1992065106 · NPPES record last updated May 22, 2012
Key facts
- NPI
- 1992065106
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- COLQUITT DENTAL CARE,LLC
- Practice address
- 115 N Cuthbert St
Colquitt, GA 39837-3401 - Phone
- (229) 758-3345
- Fax
- (229) 758-3339
- NPI assigned
- May 22, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Robert A Lane, DMD
- Title
- Owner/Dentist
- Phone
- (229) 758-3345
Practitioners 2
-
Robert Anson Lane, DMD
National Provider Directory
Locations
115 N Cuthbert St
Colquitt, GA 39837
Phone (229) 758-3345
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
115 N Cuthbert St
Colquitt, GA 39837-3401
Mailing address
115 N Cuthbert St
Colquitt, GA 39837-3401
Phone (229) 758-3345
Other providers in Colquitt, GA
- Courtney Grace Clanton
- Michael W Clifford
- Janna H Cobb
- Colquitt Alternative Care, Inc
- Colquitt Complete Care LLC
- Colquitt Pharmacy LLC
- Stamey Seleste Cook
- Cozy Corner Adult Day Center LLC
- Oneil Culver
- Anand Dave
All providers in Colquitt, GA · Dental Clinic/Center in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.