| Lane And Associates Iv | |
|
315 Highway 55 West Box 180 Mount Olive NC 28365 | |
| (919) 658-9555 | |
| (919) 658-1009 |
| Full Name | Lane And Associates Iv |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 315 Highway 55 West, Mount Olive, North Carolina |
| Authorized Official Name and Position | Tammy Moran (COMPTROLLER) |
| Authorized Official Contact | 9108142944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lane And Associates Iv 315 Highway 55 West Box 180 Mount Olive NC 28365 Ph: (919) 658-9555 | Lane And Associates Iv 315 Highway 55 West Box 180 Mount Olive NC 28365 Ph: (919) 658-9555 |
| NPI Number | 1437200417 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437200417 | NPI | - | NPPES |
| 0207F | Other | NC | BCBS-NC HEALTHCHOICE |
| 890207F | Medicaid | NC | |
| 1378584 | Other | NC | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4785 (North Carolina) | Primary |
Amy M Kimes, Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 236 Smith Chapel Rd, Mount Olive, NC 28365 Phone: 919-658-9511 | |
Goshen Medical Center - Mount Olive Mobile Unit Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 Nc Highway 55 W, Mount Olive, NC 28365 Phone: 910-267-2044 | |
Joseph Ray Mooring, Jr., D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 236 Smith Chapel Rd, Mount Olive, NC 28365 Phone: 919-658-9511 Fax: 919-658-8555 |