DR. RICKY LANE, DDS, FAGD
Dentist
Active
Individual
NPI: 1972689958
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | 10959 (GA) |
Frequently Asked Questions
NPI 1972689958 is the National Provider Identifier for DR. RICKY LANE, DDS, FAGD, a Dentist provider located in Statesboro, GA. This NPI was enumerated on October 31, 2006.
DR. RICKY LANE, DDS, FAGD practices at 504 GENTILLY ROAD, Statesboro, GA 30458.
Quick Facts
- NPI
- 1972689958
- Type
- Individual
- Enumerated
- Oct 31, 2006
- Last Updated
- Jul 8, 2007
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