Individual provider · Type 1 NPI
William Blake Lane, DDS, M.S.D., PC
Orthodontics and Dentofacial Orthopedics Dentistry · Columbus, GA
Practice location
6440 Bradley Park Dr
Columbus, GA 31904-3082
Fax (706) 324-4982
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 6870 (GA) |
Orthodontics and Dentofacial Orthopedics Dentistry: 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 related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
Another provider at this address
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About NPI 1962420646
William Blake Lane, DDS, M.S.D., PC's National Provider Identifier is 1962420646, issued on Jul 18, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Columbus, GA. The record was last updated on Jul 8, 2007.