| Lane & Associates X Dds Pa | |
|
407 Tiffany Dr Sanford NC 27330-9306 | |
| (919) 774-6311 | |
| (919) 775-4115 |
| Full Name | Lane & Associates X Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 407 Tiffany Dr, Sanford, North Carolina |
| Authorized Official Name and Position | Alicia Marie Duffy (CREDENTIALING MANAGER) |
| Authorized Official Contact | 9192952757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lane & Associates X Dds Pa 407 Tiffany Dr Sanford NC 27330 Ph: (919) 774-6311 | Lane & Associates X Dds Pa 407 Tiffany Dr Sanford NC 27330-9306 Ph: (919) 774-6311 |
| NPI Number | 1154475036 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 03/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154475036 | NPI | - | NPPES |
| 89015PY | Medicaid | NC | |
| 015PY | Other | NC | BCBS-NC HEALTHCHOICE |
| 1593877 | Other | NC | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4785 (North Carolina) | Primary |
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