Healthcare Provider Details

I. General information

NPI: 1386100139
Provider Name (Legal Business Name): SAVANNAH LANCASTER DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/18/2019
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2311 LEWISVILLE CLEMMONS RD STE 301
CLEMMONS NC
27012-8905
US

IV. Provider business mailing address

2311 LEWISVILLE CLEMMONS RD STE 302
CLEMMONS NC
27012-8905
US

V. Phone/Fax

Practice location:
  • Phone: 336-631-4770
  • Fax:
Mailing address:
  • Phone: 336-631-4770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number14564
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number9843
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS042871
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License NumberDGD10010
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: