| Brian Lane D.d.s. P.a. 2 | |
|
582 Highway 365 Ste 4 Mayflower AR 72106-9525 | |
| (501) 470-9900 | |
| Not Available |
| Full Name | Brian Lane D.d.s. P.a. 2 |
|---|---|
| Speciality | Dentist |
| Location | 582 Highway 365 Ste 4, Mayflower, Arkansas |
| Authorized Official Name and Position | Brian Lane (PRESIDENT) |
| Authorized Official Contact | 5014709900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Lane D.d.s. P.a. 2 582 Highway 365 Ste 4 Mayflower AR 72106-9525 Ph: (501) 470-9900 | Brian Lane D.d.s. P.a. 2 582 Highway 365 Ste 4 Mayflower AR 72106-9525 Ph: (501) 470-9900 |
| NPI Number | 1578749198 |
|---|---|
| Provider Enumeration Date | 01/14/2008 |
| Last Update Date | 01/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578749198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3395 (Arkansas) | Primary |