LANE & ASSOCIATES XXI, DDS PA (NPI# 1275819708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275819708 |
| Entity Type | Organization |
| Organization Name | LANE & ASSOCIATES XXI, DDS PA |
| Practice Address |
4106 Wake Forest Rd Suite 203 Raleigh NC 27609-6398 |
| Practice Telephone | 9192770577 |
| Mailing Telephone | 9192770577 |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2011-10-28 |
| Authorized Official Name | PHILLIP BUTTS (VP CONTRACTS AND DEVELOPMENT) |
| Authorized Official Telephone | 9198639763 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
4785 | NC | Dental Providers |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
4785 | NC | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
4785 | NC | Dental Providers |
| Street Address |
4106 WAKE FOREST RD SUITE 203 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27609-6398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811041700 | Lane & Associates Xii, Dds Pa | Dentist | 4106 Wake Forest Rd, Suite 100, Raleigh, NC 27609-6227 | 2007-01-22 |
| 1568999118 | Wright & Associates IIi Dds, Pa | Dentist | 4106 Wake Forest Rd, Raleigh, NC 27609-6398 | 2017-05-15 |
| 1346620648 | Bianca Speight | Dentist | 4106 Wake Forest Rd, Raleigh, NC 27609-6398 | 2015-06-02 |
| 1023420635 | Jason Robert Harris | Dentist | 4106 Wake Forest Rd, Raleigh, NC 27609-6398 | 2014-05-30 |
| 1285910455 | Lane & Associates Xxii, Dds Pa | Dentist | 4106 Wake Forest Rd, Suite 201, Raleigh, NC 27609-6398 | 2011-11-01 |
| 1689835605 | Mazin E Aziz | Dentist | 4106 Wake Forest Rd, Raleigh, NC 27609-6227 | 2008-06-23 |
| 1992908628 | Anthony Nettey-marbell | Dentist | 4106 Wake Forest Rd, Raleigh, NC 27609-6227 | 2007-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
| 1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
| 1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
| 1215423579 | Appiah Nana Larbi | Social Worker | Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 | 2018-07-10 |
| 1215423777 | Broadway Home Care LLC | In Home Supportive Care | 107 Windel Dr Ste 105, Raleigh, NC 27609 | 2018-07-09 |
| 1275027948 | Lacey Allene Cottingham | Social Worker | 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 | 2018-06-18 |
| 1447748819 | Integrated Dermatology of North Raleigh, Pllc | Dermatology | 3809 Computer Dr Ste 200, Raleigh, NC 27609 | 2018-05-01 |
| 1902325418 | Naomi Christine Askew | Nurse Practitioner | 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 | 2017-09-15 |
| 1962929679 | Alexia Montague | Social Worker | 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 | 2017-08-23 |
| 1730602236 | Chantel Washington-mbuthia | Counselor | 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 | 2017-07-18 |
| Find all providers in zip 27609 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750823746 | Nazir Ahmad Dds V Pa | Dentist | 2500 Blue Ridge Rd Ste 201, Raleigh, NC 27607-7515 | 2016-11-08 |
| 1134482482 | Matthew Robert Holman | Dentist | 5904 Six Forks Rd # 101, Raleigh, NC 27609-3838 | 2012-06-21 |
| 1720399017 | Eric Deubler Hoverstad | Dentist | 3809 Computer Dr Ste 101, Raleigh, NC 27609-6518 | 2010-07-01 |
| 1710132030 | Phillip S. Mciver Dds Pa | Dentist | 7920 Acc Blvd., Ste. 130, Raleigh, NC 27617-8744 | 2008-12-01 |
| 1700967171 | Amandip Kamoh | Dentist | 8305 Falls of Neuse Rd Ste 105, Raleigh, NC 27615-3546 | 2006-10-18 |
| 1003836321 | John Sunghoon Won | Dentist | 8851 Ellstree Ln Ste 116, Raleigh, NC 27617-2046 | 2006-07-20 |
| 1609809292 | Anthony Russell Immediata | Dentist | 7101 Creedmoor Rd, Suite 109, Raleigh, NC 27613-1682 | 2006-07-08 |
| 1952337685 | Mark Franklin Kozacko | Dentist | 6817 Falls of Neuse Rd, Suite 101, Raleigh, NC 27615-5386 | 2006-06-24 |
| 1326099458 | Kenneth J. Benson | Dentist | 7401 Creedmoor Rd, Raleigh, NC 27613-1640 | 2006-05-13 |
| 1194298828 | John S Won Md Pa | Dentist | 8851 Ellstree Ln Ste 116, Raleigh, NC 27617-2046 | 2019-01-04 |
| Find all providers in RALEIGH | ||||
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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.