| Professional Lane Dental, Pllc | |
|
102 Professional Ln Dothan AL 36303-3874 | |
| (334) 792-0997 | |
| (334) 702-6896 |
| Full Name | Professional Lane Dental, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 102 Professional Ln, Dothan, Alabama |
| Authorized Official Name and Position | Jolinda Strickland (OFFICE MANAGER) |
| Authorized Official Contact | 3347920997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Lane Dental, Pllc 102 Professional Ln Dothan AL 36303-3874 Ph: (334) 792-0997 | Professional Lane Dental, Pllc 102 Professional Ln Dothan AL 36303-3874 Ph: (334) 792-0997 |
| NPI Number | 1508486424 |
|---|---|
| Provider Enumeration Date | 04/21/2020 |
| Last Update Date | 05/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508486424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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