| Lane And Associates Xxxix Dds Pa | |
|
161 Kodiak Ln Mount Airy NC 27030-5399 | |
| (336) 789-1025 | |
| (336) 789-1158 |
| Full Name | Lane And Associates Xxxix Dds Pa |
|---|---|
| Speciality | Dentist |
| Location | 161 Kodiak Ln, Mount Airy, North Carolina |
| Authorized Official Name and Position | Alicia 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 Xxxix Dds Pa 161 Kodiak Ln Mount Airy NC 27030-5399 Ph: (336) 789-1025 | Lane And Associates Xxxix Dds Pa 161 Kodiak Ln Mount Airy NC 27030-5399 Ph: (336) 789-1025 |
| NPI Number | 1538776455 |
|---|---|
| Provider Enumeration Date | 09/24/2020 |
| Last Update Date | 10/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538776455 | NPI | - | NPPES |
| 5070979 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
William L Barham Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1140 S South St, Mount Airy, NC 27030 Phone: 336-789-2285 | |
Dr Larry Dean Simmons Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1007 Rockford St, Suite 1, Mount Airy, NC 27030 Phone: 336-789-2075 Fax: 336-789-2041 | |
Thomas R Jackson Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1007 Rockford Street, Mount Airy, NC 27030 Phone: 336-789-1025 Fax: 336-789-1158 | |
Luz E Estrada Dds Pllc Iii Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 933 Rockford St Ste 1, Mount Airy, NC 27030 Phone: 336-844-2281 Fax: 336-750-6077 | |
Tracy Redden Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2151 Rockford St, Mount Airy, NC 27030 Phone: 336-429-4147 | |
Mount Airy Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Rawley Ave Unit 1, Mount Airy, NC 27030 Phone: 336-415-7777 |