DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RICKY LANE, DDS, FAGD

Active Sole Proprietor

DR. RICKY LANE, DDS, FAGD is a Dentist healthcare provider located in STATESBORO, Georgia. NPI 1972689958 is currently active in the NPPES registry. Verify at CMS.

Dentist · STATESBORO, GA

Registration Details

NPI Number
1972689958
Provider Type
Individual
Gender
Male
NPI Issued
Oct 31, 2006 (19.823941135891 yrs)
Last Updated
Jul 8, 2007
License
10959 (GA)
Sole Proprietor
Yes

Practice Information

Address
504 GENTILLY ROAD
STATESBORO, GA, 30458
Browse GA providers · Browse ZIP 30458
Phone
9127645625
Primary Specialty
Dentist
122300000X

Other Dentist Providers in STATESBORO, GA

Name Credential NPI
DR. RICHARD L. EMERT D.D.S. 1982626883
DR. JASON REID MCGIBONY D.M.D. 1952490989
DR. JARROD H. BROWN DDS 1689718157
DR. JARRETT HARRELL WALDEN D.M.D. 1699935403
DR. ATHENA PARASKEVI CHAPEL D.M.D. 1194981662
DR. ANJALI PURI PATEL DMD 1144543372
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.