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Contact Information

KERRY J LANE, DDS
325 MEETING HOUSE LANE
SUITE H
SOUTHAMPTON, NY11946
 Phone: 631-283-1543
 Fax: 631-287-4598
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for KERRY J LANE · (Male)

NPI # 1386861078
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 04/20/2007
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 042010-1
  • NY Other 042010-1 DENTAL LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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