| Lane And Associates Xl Dds Pa | |
|
1002 Jenkins Ave Maysville NC 28555-4401 | |
| (910) 743-2521 | |
| (910) 743-2531 |
| Full Name | Lane And Associates Xl Dds Pa |
|---|---|
| Speciality | Dentist |
| Location | 1002 Jenkins Ave, Maysville, 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 Xl Dds Pa Po Box 2230 Angier NC 27501-2230 Ph: (919) 639-2272 | Lane And Associates Xl Dds Pa 1002 Jenkins Ave Maysville NC 28555-4401 Ph: (910) 743-2521 |
| NPI Number | 1205426756 |
|---|---|
| Provider Enumeration Date | 01/19/2021 |
| Last Update Date | 04/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205426756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
Sue A. Minneman-fowler, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1002 Jenkins Anenue, Maysville, NC 28555 Phone: 910-743-2521 Fax: 910-743-2531 |