William Blake Lane in Columbus - Orthodontics And Dentofacial Orthopedics
William Blake Lane - NPI 1962420646
William Blake Lane is a Orthodontics And Dentofacial Orthopedics in Columbus, Georgia. William Blake Lane practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for William Blake Lane is 1962420646. The last update date is 2007-07-08.
William Blake Lane's current location address is 6440 Bradley Park Dr, Columbus, Georgia. You can contact this provider via phone number 7063237217 and fax number 7063244982. The mailing address for William Blake Lane is 6440 Bradley Park Dr, Columbus, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | William Blake Lane |
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Address | 6440 Bradley Park Dr, Columbus, Georgia |
Phone Number | 7063237217 |
Fax Number | 7063244982 |
Sole Proprietor | Y |
Credentials | D.D.S., M. |
NPI Number Detail
NPI Number | 1962420646 |
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Provider Enumeration Date | 2006-07-18 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 6440 Bradley Park Dr |
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City | Columbus |
State | Georgia (GA) |
Post Code | 319043082 |
Phone Number | 7063237217 |
Fax Number | 7063244982 |
Provider's Primary Taxonomy Detail
Speciality | Orthodontics And Dentofacial Orthopedics |
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Taxonomy | 1223X0400X |
Licence No | 6870 |
Definition: 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 rel |
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What is the William Blake Lane's 1962420646?
The William Blake Lane's NPI (National Provider Identifier) Number is 1962420646. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
What is the unique identifier code issued to William Blake Lane by the Centers for Medicare & Medicaid Services (CMS)?
The William Blake Lane has been assigned the NPI (National Provider Identifier) 1962420646. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the William Blake Lane located?
The William Blake Lane is located at 6440 Bradley Park Dr, Columbus, GA 319043082.
When was the William Blake Lane's 1962420646 issued?
The William Blake Lane's 1962420646 was issued on 2006-07-18.
On what date did the Centers for Medicare & Medicaid Services issue the 1962420646 to William Blake Lane?
The William Blake Lane received its 1962420646 assignment from the Centers for Medicare & Medicaid Services on 2006-07-18.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY