| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
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