Provider Demographics
NPI:1184982852
Name:LANA B. ATCHLEY, D.M.D., L.L.C.
Entity type:Organization
Organization Name:LANA B. ATCHLEY, D.M.D., L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ATCHLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:334-298-9900
Mailing Address - Street 1:3544 US HWY 280/431 NORTH
Mailing Address - Street 2:SUITE G
Mailing Address - City:PHENIX CITY
Mailing Address - State:AL
Mailing Address - Zip Code:36867-2340
Mailing Address - Country:US
Mailing Address - Phone:334-298-9900
Mailing Address - Fax:334-664-0953
Practice Address - Street 1:3544 US HIGHWAY 431 N
Practice Address - Street 2:
Practice Address - City:PHENIX CITY
Practice Address - State:AL
Practice Address - Zip Code:36867-2340
Practice Address - Country:US
Practice Address - Phone:334-298-9900
Practice Address - Fax:334-664-0953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-01
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty