Katherine Jean Lane in Salem - Pediatric Dentistry
Katherine Jean Lane - NPI 1942357686
Katherine Jean Lane is a Pediatric Dentistry in Salem, Oregon. Katherine Jean Lane practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Katherine Jean Lane is 1942357686. The last update date is 2014-06-26.
Katherine Jean Lane's current location address is 5135 Skyline Rd S, Salem, Oregon. You can contact this provider via phone number 5418802090 and fax number 5418802092. The mailing address for Katherine Jean Lane is 5135 Skyline Rd S, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katherine Jean Lane |
|---|---|
| Address | 5135 Skyline Rd S, Salem, Oregon |
| Phone Number | 5418802090 |
| Fax Number | 5418802092 |
| Sole Proprietor | N |
| Credentials | D.M.D, M.S |
NPI Number Detail
| NPI Number | 1942357686 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2014-06-26 |
Provider Mailing Address Detail
| Address | 5135 Skyline Rd S |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 973069427 |
| Phone Number | 5418802090 |
| Fax Number | 5418802092 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | D8774 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D8774 | OR | OREGON DENTIST LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Katherine Jean Lane by the Centers for Medicare & Medicaid Services?
The Katherine Jean Lane has been issued the NPI (National Provider Identifier) 1942357686. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Katherine Jean Lane?
The Katherine Jean Lane is physically situated at 5135 Skyline Rd S, in the city of Salem, state of OR, with the postal code 973069427.
What is the Katherine Jean Lane's area of specialization and corresponding taxonomy classification?
The Katherine Jean Lane's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
On what date did the Katherine Jean Lane receive its 1942357686 assignment from the Centers for Medicare & Medicaid Services?
The Katherine Jean Lane was assigned its 1942357686 by the Centers for Medicare & Medicaid Services on 2007-01-04.
As of what date was the information pertaining to Katherine Jean Lane, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Katherine Jean Lane, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-06-26.
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