IndividualActive
David Lane, DDS MS PA
NPI 1346343407 · Orthodontics and Dentofacial Orthopedics Dentistry · Jackson, MS
Provider details
- NPI number
- 1346343407
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS MS PA
- Sex
- Male
- Sole proprietor
- No
- License
- 169475 (MS)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
1855 Crane Ridge Drive
Suite D
Jackson, MS 39216
Phone: (601) 981-7073
Approximate (ZIP-level) locationGet directions
Mailing address
1855 Crane Ridge Drive
Jackson, MS 39216
Registry dates
- Enumerated
- 2006-09-06
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.