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NPI 1629876180

NPI 1629876180 : MORGAN ALEXANDER LANE DMD : CASTLE ROCK, CO

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General NPI Number Information
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    NPI Number           |    1629876180
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    Entity Type          |    Individual 
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    Provider Name        |    MORGAN ALEXANDER LANE DMD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/03/2025
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    Last Update Date     |    12/15/2025
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Provider Practice Location Address
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    Address Line         |    3750 DACORO LN STE 145 
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    City                 |    CASTLE ROCK
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    State                |    CO
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    Zip                  |    80109-2514
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    Country              |    US
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    Telephone            |    720-733-0353
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    17184 E CEDAR GULCH DR 
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    City                 |    PARKER
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    State                |    CO
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    Zip                  |    80134-4379
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    Country              |    US
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    Telephone            |    970-691-9694
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223X0400X
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    Taxonomy Name        |    Orthodontics and Dentofacial Orthopedics Dentistry
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    License Number       |    DEN.00205313
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    License Number State |    CO
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Taxonomy #2
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    DEN.00205313
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    License Number State |    CO
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