Lane, William Blake
Lane, William Blake is an sole proprietor health care provider with primary practice located at 6440 Bradley Park Dr , Columbus GA 31904-3082. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Lane, William Blake can be contacted via phone (706) 323-7217.Contact Information
Primary practice address
6440 Bradley Park Dr
Columbus GA 31904-3082
Phone: (706) 323-7217
Fax: (706) 324-4982
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 6870 | Georgia |
Profile Details
| NPI number | 1962420646 |
|---|---|
| LBN Legal business name | Lane, William Blake |
| Credentials | D.D.S., M.S.D., PC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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