| Christopher J Lane Dds, Pllc | |
|
95 Church St Suite 404 White Plains NY 10601-1515 | |
| (914) 946-1249 | |
| Not Available |
| Full Name | Christopher J Lane Dds, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 95 Church St, White Plains, New York |
| Authorized Official Name and Position | Christopher Joseph Lane (OWNER) |
| Authorized Official Contact | 9149461249 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher J Lane Dds, Pllc 95 Church St Suite 404 White Plains NY 10601-1515 Ph: (914) 946-1249 | Christopher J Lane Dds, Pllc 95 Church St Suite 404 White Plains NY 10601-1515 Ph: (914) 946-1249 |
| NPI Number | 1508098971 |
|---|---|
| Provider Enumeration Date | 08/18/2009 |
| Last Update Date | 08/18/2009 |
| Medicare PECOS PAC ID | 1557490018 |
|---|---|
| Medicare Enrollment ID | O20100521000867 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508098971 | NPI | - | NPPES |
| 01455985 | Medicaid | NY | |
| D5M421 | Other | NY | MEDICARE ID TYPE UNSPECIFIED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 042192 (New York) | Primary |
| Provider Name | Christopher J Lane |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1205802345 PECOS PAC ID: 6204965767 Enrollment ID: I20100521000852 |
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