Lane Oral & Maxillofacial Surgery Pc | |
30 Resnik Rd Plymouth MA 02360 | |
(508) 746-8700 | |
(508) 746-2434 |
Full Name | Lane Oral & Maxillofacial Surgery Pc |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 30 Resnik Rd, Plymouth, Massachusetts |
Authorized Official Name and Position | William F Lane (PRESIDENT) |
Authorized Official Contact | 5087468700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lane Oral & Maxillofacial Surgery Pc 30 Resnik Rd Plymouth MA 02360 Ph: (508) 746-8700 | Lane Oral & Maxillofacial Surgery Pc 30 Resnik Rd Plymouth MA 02360 Ph: (508) 746-8700 |
NPI Number | 1407954761 |
---|---|
Provider Enumeration Date | 09/20/2006 |
Last Update Date | 10/06/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407954761 | NPI | - | NPPES |
X11116 | Other | MA | BLUE CROSS GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 13878 (Massachusetts) | Primary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 21191 (Massachusetts) | Secondary |
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› Verified 6 days ago
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