| Lane And Associates Xlvii Dds Pa | |
|
515 S Caswell St La Grange NC 28551-2005 | |
| (252) 566-9616 | |
| Not Available |
| Full Name | Lane And Associates Xlvii Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 515 S Caswell St, La Grange, North Carolina |
| Authorized Official Name and Position | Alicia Duffy (CREDENTIALING MANAGER) |
| Authorized Official Contact | 9192952757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lane And Associates Xlvii Dds Pa 12450 Cleveland Rd Ste 204 Garner NC 27529-8355 Ph: (919) 295-2757 | Lane And Associates Xlvii Dds Pa 515 S Caswell St La Grange NC 28551-2005 Ph: (252) 566-9616 |
| NPI Number | 1083345664 |
|---|---|
| Provider Enumeration Date | 06/23/2022 |
| Last Update Date | 06/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083345664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Dr. Kent S. Denton Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 S Caswell St, La Grange, NC 28551 Phone: 252-566-9616 Fax: 252-566-4910 |