| Lane Center For Advanced Dentistry, Llc | |
|
4623 State Route 136 Greensburg PA 15601-6415 | |
| (724) 836-4433 | |
| (724) 836-2507 |
| Full Name | Lane Center For Advanced Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4623 State Route 136, Greensburg, Pennsylvania |
| Authorized Official Name and Position | Gregory Earl Lane (SOLE MEMBER) |
| Authorized Official Contact | 7248364433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lane Center For Advanced Dentistry, Llc 4623 State Route 136 Greensburg PA 15601-6415 Ph: (724) 836-4433 | Lane Center For Advanced Dentistry, Llc 4623 State Route 136 Greensburg PA 15601-6415 Ph: (724) 836-4433 |
| NPI Number | 1013133206 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013133206 | NPI | - | NPPES |
| 729519 | Other | PA | UNITED CONCORDIA PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS0272161 (Pennsylvania) | Primary |
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