LANE AND ASSOCIATES IV (NPI# 1437200417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437200417 |
| Entity Type | Organization |
| Organization Name | LANE AND ASSOCIATES IV |
| Practice Address |
315 Highway 55 West Box 180 Mount Olive NC 28365 |
| Practice Telephone | 9196589555 |
| Practice Fax Number | 9196581009 |
| Mailing Telephone | 9196589555 |
| Mailing Fax Number | 9196581009 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. TAMMY MORAN (COMPTROLLER) |
| Authorized Official Telephone | 9108142944 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4785 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 890207F | 05 | |
| NC | BCBS-NC HEALTHCHOICE | 0207F | 01 |
| NC | UNITED CONCORDIA | 1378584 | 01 |
| Street Address |
315 HIGHWAY 55 WEST BOX 180 |
| City | MOUNT OLIVE |
| State | NC |
| Zip Code | 28365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639782709 | Courtney Bullard Conn | Dentist | 315 Hwy 55, Mount Olive, NC 28365 | 2020-08-28 |
| 1740836485 | Brittany Leigh Spence | Nurse Practitioner | 325 Nc-55 West, Mt Olive, NC 28365 | 2019-08-16 |
| 1265859847 | Lisa B Ezzell-weeks | Pharmacist | 308 Nc 55 West, Mount Olive, NC 28365 | 2014-03-21 |
| 1962844720 | Terry Louise Price | Counselor | 110 Sw Center Street, Mount Olive, NC 28365 | 2013-07-22 |
| 1396089173 | Karen Lane | Physical Therapy Assistant | 2221 Nc 55 Eas5t, Mount Olive, NC 28365 | 2012-11-19 |
| 1760726475 | Sundance | Skilled Nursing Facility | 228 Smith Chapel Road, Mount Olive, NC 28365 | 2012-11-19 |
| 1356633531 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1103 N Breazeale Ave, Mount Olive, NC 28365 | 2011-05-06 |
| 1780995175 | Darren Edward Stevens | Pharmacist | 308 Nc 55w, Mount Olive, NC 28365 | 2010-06-30 |
| 1760719348 | Hana Kim | Physician Assistant | 325 Nc Highway 55 West, Mount Olive, NC 28365 | 2009-11-03 |
| 1376684696 | Michelle E Honeycutt | Speech-Language Pathologist | 429 Hwy E, Mt Olive, NC 28365 | 2007-02-09 |
| Find all providers in zip 28365 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639782709 | Courtney Bullard Conn | Dentist | 315 Hwy 55, Mount Olive, NC 28365 | 2020-08-28 |
| 1164613428 | Danny S Pender | Dentist | 234 Bert Martin Rd, Mount Olive, NC 28365-7078 | 2007-08-01 |
| 1275634131 | Dennis J. Guardia | Dentist | 312 W Main St, Mount Olive, IL 62069-1640 | 2006-09-25 |
| 1821199084 | Joseph Ray Mooring Jr. | Dentist | 236 Smith Chapel Rd, Mount Olive, NC 28365-1917 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578846 | Abbey S. Hawkins, Dds, Pa | Dentist | 113 W Arbor Lln, Eden, NC 27288-5305 | 2020-11-04 |
| 1134728157 | Yonathan Nigatu Dds Pllc | Dentist | 1355 E Broad Ave., Rockingham, NC 28379 | 2020-10-21 |
| 1023616596 | Riccobene and Associates Xli, Dds, P.a. | Dentist | 211 Midway Commons, Suite 116, Bolivia, NC 28422 | 2020-10-15 |
| 1487261947 | Daniel Conti, Dds Pllc | Dentist | 8805 Old Tom Way, Raleigh, NC 27613-5434 | 2020-09-29 |
| 1750997110 | William James Graham Iv | Dentist | Bldg B-6837 Normandy Dr, Fort Bragg, NC 28310-0001 | 2020-09-21 |
| 1194330415 | Drs Koren and Reimels Oxford Pllc | Dentist | 1419 College St Ste B, Oxford, NC 27565-2578 | 2020-09-14 |
| 1467067991 | Drs Boyd Koren and Reimels Pllc | Dentist | 117 Village Rd Ne # H, Leland, NC 28451-7413 | 2020-09-11 |
| 1205440344 | Sahil Bhardwaj | Dentist | 1432 E Main St, Lincolnton, NC 28092-3902 | 2020-09-05 |
| 1013529437 | Nicholas Peter Griggs | Dentist | 7150 Market St Ste 130, Wilmington, NC 28411-9888 | 2020-08-18 |
| 1346851805 | Ganglani Dmd Pllc | Dentist | 8420 Park Rd, Charlotte, NC 28210-5801 | 2020-08-10 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT OLIVE |
| Zip Code | 28365 |
Please comment or provide details below to improve the information on LANE AND ASSOCIATES IV.
| 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.