Lane And Associates Viii Dds Pa | |
912 Robeson St Fayetteville NC 28305-5614 | |
(910) 485-6316 | |
(910) 485-6302 |
Full Name | Lane And Associates Viii Dds Pa |
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Speciality | Dentist - General Practice |
Location | 912 Robeson St, Fayetteville, North Carolina |
Authorized Official Name and Position | Alicia M Duffy (CREDENTIALING MANAGER) |
Authorized Official Contact | 9192952757 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lane And Associates Viii Dds Pa 912 Robeson St Fayetteville NC 28305-5614 Ph: (910) 485-6316 | Lane And Associates Viii Dds Pa 912 Robeson St Fayetteville NC 28305-5614 Ph: (910) 485-6316 |
NPI Number | 1588717912 |
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Provider Enumeration Date | 01/19/2007 |
Last Update Date | 05/04/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588717912 | NPI | - | NPPES |
011NG | Other | NC | BCBS-NC HEALTHCHOICE |
1309310 | Other | NC | UNITED CONCORDIA |
89011NG | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 4785 (North Carolina) | Primary |
Knowles, Smith & Associates, Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2409 Robeson St, Fayetteville, NC 28305 Phone: 910-483-9546 | |