DR. EDWARD SIDNEY LANE II (NPI# 1467522474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467522474 |
| Entity Type | Individual |
| Full Name | DR. EDWARD SIDNEY LANE II |
| Credential | D.D.S. |
| Practice Address |
5565 Murray Rd Memphis TN 38119-3879 |
| Practice Telephone | 9017678152 |
| Practice Fax Number | 9017612574 |
| Mailing Telephone | 9017678152 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
3825 | TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033140876 | Edward Michael Lane | Otolaryngology | 4675 Main Street, Bridgeport, CT 06606 | 2006-07-06 |
| 1801105077 | Edward Kendrick Lane | Physician Assistant | 4500 E 9th Ave Ste 450, Denver, CO 80220-3933 | 2010-10-05 |
| 1013023738 | Edward Lane | Family Medicine | 820 Memorial St Ste 1, Prosser, WA 99350-2504 | 2006-08-23 |
| 1881700342 | Edward J Lane | Family Medicine | 7901 Diley Rd, Suite 200, Canal Winchester, OH 43110 | 2006-08-21 |
| 1700886348 | Edward G Lane | Emergency Medicine | 350 N Wilmot Rd, Tucson, AZ 85711-2602 | 2005-07-26 |
| Street Address |
5565 MURRAY RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-3879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447231253 | Joseph Lawrence Mcrae | Dentist | 5565 Murray Rd, Memphis, TN 38119-3879 | 2005-11-09 |
| 1619162187 | Mcrae-wilson Oral and Maxillofacial Surgery Group | Dentist | 5565 Murray Rd, Memphis, TN 38119-3879 | 2007-09-07 |
| 1083807739 | Julian G Fleming,m.d.,p.c. | Internal Medicine | 5565 Murray Rd, Second Floor, Memphis, TN 38119-3879 | 2007-08-24 |
| 1518092758 | Julius Fred Case | Dentist | 5565 Murray Rd, Memphis, TN 38119 | 2007-02-21 |
| 1487635041 | Gary Trent Wilson | Dentist | 5565 Murray Rd, Memphis, TN 38119-3879 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023158185 | Periodontal Associates of Memphis | Dentist | 6268 Poplar Ave, Memphis, TN 38119-4713 | 2007-02-07 |
| 1932211349 | Hiram Raymond Fry | Dentist | 1721 Kirby Pkwy, Memphis, TN 38120-4367 | 2006-08-31 |
| 1760489496 | John Stephen Weir | Dentist | 5348 Estate Office Dr, Suite #1, Memphis, TN 38119-3635 | 2005-07-07 |
| 1619327244 | Grant Thomas King | Dentist | 6268 Poplar Ave, Memphis, TN 38119-4713 | 2016-06-14 |
| 1225262884 | Anastasios Karydis | Dentist | 875 Union Ave, C511, Memphis, TN 38103-3513 | 2009-05-12 |
| 1235308537 | Joan C. Schmitt | Dentist | 5366 Estate Office Dr, Memphis, TN 38119-0611 | 2008-02-21 |
| 1952511578 | J. Stephen Weir, D.d.s., L.L.C. | Dentist | 5348 Estate Office Dr, Suite #1, Memphis, TN 38119-3635 | 2007-05-23 |
| 1144433210 | Mark Randall Patters | Dentist | 875 Union Ave, Univ. of Tennessee, College of Dentistry, Memphis, TN 38163-0001 | 2007-05-07 |
| 1356470835 | Lesley H Binkley Jr. | Dentist | 6268 Poplar Ave, Memphis, TN 38119-4713 | 2007-03-02 |
| 1639208127 | Preston D Miller Jr. | Dentist | 6268 Poplar Ave, Memphis, TN 38119-4713 | 2007-03-02 |
| Find all providers in MEMPHIS | ||||
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| 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.