Healthcare Provider Details

I. General information

NPI: 1629876180
Provider Name (Legal Business Name): MORGAN ALEXANDER LANE DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3750 DACORO LN STE 145
CASTLE ROCK CO
80109-2514
US

IV. Provider business mailing address

17184 E CEDAR GULCH DR
PARKER CO
80134-4379
US

V. Phone/Fax

Practice location:
  • Phone: 720-733-0353
  • Fax:
Mailing address:
  • Phone: 970-691-9694
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDEN.00205313
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN.00205313
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: