MEDICARE: DR. LANA BATES ATCHLEY DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	AL4617	AL
2	1223G0001X	General Practice Dentistry	DN13802	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265584064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LANA BATES ATCHLEY DMD

Provider Business Mailing Address
First Line	:	8643 CREEKRISE DR
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-1400
Country	:	US
Telephone Number	:	706-327-0168
Fax Number	:

Provider Business Practice Location Address
First Line	:	3544 HWY 431 NORTH/280 WEST
Second Line	:
City	:	PHENIX CITY
State	:	AL
Zip	:	36867
Country	:	US
Telephone Number	:	334-298-9900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	03/07/2023

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