DR. WILLIAM BLAKE LANE (NPI# 1962420646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962420646 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM BLAKE LANE |
| Other Name | DR. W. BLAKE LANE |
| Credential | D.D.S., M.S.D., PC |
| Practice Address |
6440 Bradley Park Dr Columbus GA 31904-3082 |
| Practice Telephone | 7063237217 |
| Practice Fax Number | 7063244982 |
| Mailing Telephone | 7063237217 |
| Mailing Fax Number | 7063244982 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
6870 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730794751 | William Jay Lane | In Home Supportive Care | 410 Westgate Dr Unit A, Cleves, OH 45002-1144 | 2020-09-15 |
| 1952422966 | William Michael Lane | Dentist | 208 N Haddon Ave, Haddonfield, NJ 08033-2323 | 2007-04-03 |
| 1942246772 | William Henry Lane | Family Medicine | 2006 Shaw Ave, Clovis, CA 93611-4192 | 2006-06-21 |
| 1417581729 | William Lane | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2020-02-25 |
| 1548752058 | William Lane | Counselor | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2018-05-31 |
| 1124542147 | William Bradford Lane Jr. | Counselor | 409 Washington Ave, Pocatello, ID 83201-4520 | 2017-08-01 |
| 1366805558 | William Edward Lane | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27705-4699 | 2016-04-04 |
| 1356700595 | William Lane | Home Health Aide | 1810 N Main St, Sumter, SC 29153-8688 | 2016-02-16 |
| 1386084374 | William C Lane IIi | Behavioral Analyst | 5135 Camino Al Norte, Suite 255, North Las Vegas, NV 89031-2387 | 2013-07-05 |
| 1528326428 | William Mcneely Lane | Dentist | 30 Resnik Rd, Plymouth, MA 02360-7211 | 2012-04-27 |
| Street Address |
6440 BRADLEY PARK DR |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31904-3082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641457 | At Home Palliative Care, LLC | Nursing Care | 114 Enterprise Ct, Suite B, Columbus, GA 31904 | 2019-07-23 |
| 1285191049 | Shandra Ladell Grimes | Nurse Practitioner | 2300 Manchester Expwy St Francis Hospital, Suite C-001, Columbus, GA 31904 | 2019-02-27 |
| 1881161529 | Lesley Kathleen Simmons | Massage Therapist | 5402 15th Ave, Columbus, GA 31904 | 2018-10-31 |
| 1184190662 | Alphonsa Joseph | Nurse Practitioner | 2430 Brookstone Centre Parkway, Columbus, Georgia 31904, Columbus, GA 31904 | 2018-10-22 |
| 1568942704 | William Pearce Massey | Social Worker | 8851-1 Moore Road, Columbus, GA 31904 | 2018-08-17 |
| 1033696372 | Marlise V. Gray | Counselor | 2013 Devonshire Dr. Suite 115, Columbus, GA 31904 | 2018-07-19 |
| 1710418173 | Amanda Barnette Pruett | Behavioral Analyst | 200 Brookstone Centre Pkwy Bldg 200, Columbus, GA 31904 | 2017-03-27 |
| 1750833232 | Carrie Leigh Whitehead | Nurse Practitioner | 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 | 2016-10-31 |
| 1609323369 | Shomika Lasha Battle | Registered Nurse | 2101 North Avenue, Columbus, GA 31904 | 2016-09-09 |
| 1952759219 | Peaceful River Home Care Agency | In Home Supportive Care | 738 Rudgate Road, Columbus, GA 31904 | 2016-05-27 |
| Find all providers in zip 31904 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079424 | Alvaro Malaga | Dentist | 2228 N High St Apt 29, Columbus, OH 43201-4401 | 2020-09-24 |
| 1386207884 | Shannon Candid Co. Ohio, P.a. | Dentist | 107 S High St Fl 2, Columbus, OH 43215-9436 | 2019-04-19 |
| 1053830547 | Columbus Orthodontic Center Amin Mason Dds LLC | Dentist | 2 E. Long Street, Columbus, OH 43215 | 2017-09-15 |
| 1346776960 | William Cameron Anderson | Dentist | 305 W 12th Ave Fl 1, Columbus, OH 43210-1267 | 2017-05-02 |
| 1972994176 | Alan Carlotto | Dentist | 224 Frankfort Sq, Columbus, OH 43206-1059 | 2015-02-10 |
| 1922499243 | Barrett Kyle Nordstrom | Dentist | 425 N Front St, Apt 605, Columbus, OH 43215-2274 | 2015-02-09 |
| 1740698117 | Jesse S Carmen | Dentist | 5225 East Main St., Columbus, OH 43213 | 2014-07-29 |
| 1578981866 | Ammar Al-mahdi | Dentist | 727 Worthington Woods Blvd, 214, Columbus, OH 43085-5754 | 2014-04-03 |
| 1598104242 | Polaris Orthodontic Center Amin Mason Dds, LLC | Dentist | 1079 Polaris Pkwy, Columbus, OH 43240-2004 | 2013-06-17 |
| 1851686562 | Mendieta, LLC | Dentist | 3079 W Broad St Ste 6, Columbus, OH 43204-1397 | 2011-06-10 |
| Find all providers in COLUMBUS | ||||
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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.