DR. LAWRENCE BENJAMIN LANE (NPI# 1376564823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376564823 |
| Entity Type | Individual |
| Full Name | DR. LAWRENCE BENJAMIN LANE |
| Credential | D.M.D. |
| Practice Address |
Corner of Sidney and Lamont (johnson City) James H. Quillen/vamc Mountain Home TN 37684 |
| Mailing Address |
301 Michaels Ridge Blvd Johnson City TN 37615-5506 |
| Practice Telephone | 4239261171 |
| Practice Fax Number | 4239793428 |
| Mailing Telephone | 4237535735 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 4645 | TN | Dental Providers |
| Street Address |
CORNER OF SIDNEY AND LAMONT (JOHNSON CITY) JAMES H. QUILLEN/VAMC |
| City | MOUNTAIN HOME |
| State | TN |
| Zip Code | 37684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215961867 | Margaret Grills Roberts | Dental Hygienist | Corner of Sidney and Lamont (johnson City), James H. Quillen/vamc, Mountain Home, TN 37684 | 2006-07-10 |
| 1750473518 | Margie Kay Mcgonagle | Dietitian, Registered | Corner of Sidney and Lamont (johnson City), James H Quillen/vamc, Mountain Home, TN 37684-4000 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730524 | Kendra Lee Thorne | Psychologist | Corner of Lamont St and Veterans Way, Building 160, Mountain Home, TN 37684 | 2020-11-04 |
| 1255930160 | Maximillian Scott Crockett | Optometrist | James. H Quillen Vamc, Eye Clinic 112e, Mountain Home, TN 37684 | 2020-10-21 |
| 1699393256 | Joshua Thomas Spencer | Pharmacist | Veterans Way and Lamont St, Mountain Home, TN 37684 | 2020-07-10 |
| 1073140265 | James Hankil Kim | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive, Mountain Home, TN 37684 | 2020-03-26 |
| 1932736030 | Trishna Sharma | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive Mountain Home, Johnson City, TN 37684 | 2020-03-26 |
| 1508421884 | Sarvatit Patel | Student in an Organized Health Care Education/Training Program | 52 Lake Dr, Mountain Home, TN 37684 | 2019-05-02 |
| 1902366024 | Katelyn Cserjes | Student in an Organized Health Care Education/Training Program | Building 52 Lake Drive Va Medical Center, Mountain Home, TN 37684 | 2019-03-24 |
| 1114404282 | Anesa Ellen Hughes | Pharmacist | Veterans Way and Lamont St Mountain Home, Mountain Home, TN 37684 | 2018-07-23 |
| 1508352287 | Leon Nguyen | Optometrist | James H. Quillen Vamc - Lamont St & Veterans Way, Eye Clinic 112e, Mountain Home, TN 37684 | 2018-07-06 |
| 1649761750 | Bahaaeldin Ibrahim Mahmoud Youssef | Student in an Organized Health Care Education/Training Program | Va Building 1 Carl A Jones Hall, Dogwood Avenue, Mountain Home, TN 37684 | 2018-05-24 |
| Find all providers in zip 37684 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679864094 | John E. Goodrich, D.d.s. | Dentist | 450 Airbase Rd, Mountain Home, ID 83647-3483 | 2011-04-20 |
| 1184883654 | Bradley Wayne Coleman,d.d.s. | Dentist | 330 Highway 5 North, Suite #10, Mountain Home, AR 72653 | 2008-06-09 |
| 1164541348 | Irvin Matthew Deatley | Dentist | 320 E 7th St, Mountain Home, AR 72653-4416 | 2007-03-28 |
| 1073601969 | Stephen Douglas Vester | Dentist | 250 Bucher Drive, Mountain Home, AR 72653-3400 | 2006-10-10 |
| 1407963762 | Derrick V Johnson | Dentist | 114 Dyer Street, Mountain Home, AR 72653 | 2006-08-24 |
| 1346251105 | John Earl Goodrich | Dentist | 450 W 6th S, Box 660, Mountain Home, ID 83647-3483 | 2006-08-10 |
| 1114946811 | Randy S. Simpson | Dentist | 137 S College St, Mountain Home, AR 72653-3940 | 2006-07-19 |
| 1982089678 | Glenns Ferry Health Center | Dentist | 2280 American Legion Blvd, Mountain Home, ID 83647-3142 | 2015-07-23 |
| 1124400890 | Tyler Mark Whiting | Dentist | 2280 American Legion Blvd, Mountain Home, ID 83647-3142 | 2015-06-18 |
| 1932429156 | Kimberly Petkovich Vaglio | Dentist | 500 Hospital Dr, Mountain Home, AR 72653-2913 | 2010-06-10 |
| Find all providers in MOUNTAIN HOME | ||||
| City | MOUNTAIN HOME |
| Zip Code | 37684 |
Please comment or provide details below to improve the information on DR. LAWRENCE BENJAMIN LANE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.