Lane Center For Advanced Dentistry, Llc

NPI 1013133206 - Dentist - 1223G0001X

NPI Details
NPI 1013133206
Enumeration Date 04/17/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GREGORY EARL GREGORY
Position SOLE MEMBER
Phone (724) 836-4433
Fax (724) 836-2507
Practice Location
4623 STATE ROUTE 136
GREENSBURG PA, 15601-6415, US
Phone (724) 836-4433
Fax (724) 836-2507
Business Location
4623 STATE ROUTE 136
GREENSBURG PA, 15601-6415, US
Phone (724) 836-4433
Fax (724) 836-2507
Toxanomy
Taxonomy Code 1223G0001X
License State Pennsylvania
License Number DS0272161
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According to our database, Lane Center For Advanced Dentistry, Llc NPI is 1013133206, taxonomy code is 1223G0001X and license number is DS0272161, license state is located at Pennsylvania. Lane Center For Advanced Dentistry, Llc physically located at 4623 State Route 136, Greensburg PA, 15601-6415. NPI Number 1033115704 has the healthcare provider type.

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1013133206 NPI number is provided on an as is basis without warranty of any kind. 1013133206 is maintained by the National Plan & Provider Enumeration System. The contents of Lane Center For Advanced Dentistry, Llc are for informational purposes only.